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Virginia 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
$1,431.40 / $6,146.00 / $14,798.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.30 / $1,457.16 / $1,797.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.24 / $1,691.70 / $2,419.07
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.31 / $1,634.67 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00