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Nationwide rates for HCPCS 69637

Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,888.44 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $10,715.19 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,168.69 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $7,244.36 / $16,218.10