go back

Kentucky 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
$1,059.49 / $1,262.32 / $13,304.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,104.00 / $5,280.00 / $12,101.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,181.65 / $1,606.58 / $1,853.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.57 / $1,437.97 / $1,437.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00