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West 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
$1,225.57 / $1,400.00 / $9,120.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.83 / $1,448.59 / $1,578.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.97 / $1,437.97 / $1,437.97