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Georgia 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
$1,997.84 / $6,726.00 / $11,341.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.18 / $4,429.60 / $8,545.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.11 / $2,771.43 / $4,256.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,685.16 / $3,685.16 / $3,685.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.92 / $1,779.60 / $3,498.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00