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Michigan 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
$1,641.41 / $4,933.00 / $7,190.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.39 / $5,567.33 / $7,584.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.43 / $4,933.00 / $7,190.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00