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California rates for HCPCS 69635

Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,645.00 / $9,697.00 / $21,960.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,585.00 / $11,216.00 / $21,514.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $15,436.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,685.47 / $4,355.56 / $10,261.32
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.52 / $1,545.36 / $2,086.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.68 / $1,703.21 / $3,036.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,059.90 / $16,547.20 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.07 / $1,656.00 / $2,441.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,284.00 / $12,313.00 / $26,451.00