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Nebraska 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
$5,463.36 / $11,611.47 / $24,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,970.26 / $10,801.75 / $20,277.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.77 / $2,489.87 / $8,816.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,294.00 / $3,236.58 / $5,383.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00