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Michigan 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
$1,500.01 / $4,933.00 / $12,103.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,939.74 / $5,766.16 / $7,855.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.71 / $4,933.00 / $6,853.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00