go back

Kentucky 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
$1,202.26 / $3,162.28 / $13,803.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $5,495.41 / $12,302.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,698.24 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,290.87 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $4,677.35 / $10,000.00