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New York 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
$1,568.51 / $5,796.00 / $12,568.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.87 / $3,478.50 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.97 / $1,437.97 / $10,297.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,837.00 / $3,349.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,866.20 / $11,866.20 / $11,866.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,437.97 / $10,297.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $6,450.00 / $12,742.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.87 / $1,359.87 / $3,972.99