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Nevada 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
$2,150.00 / $4,793.00 / $7,802.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $8,190.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,069.49 / $3,069.49 / $3,069.49
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.49 / $1,718.83 / $3,949.19
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,159.35 / $6,537.87 / $6,537.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,820.00 / $10,407.00