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West Virginia rates for HCPCS 69633

Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.75 / $1,018.75 / $2,600.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.76 / $1,193.98 / $1,300.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.44 / $1,184.44 / $1,184.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,322.82 / $36,322.82 / $36,322.82