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Oklahoma 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
$1,392.00 / $5,511.00 / $16,900.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,309.98 / $14,714.99 / $23,429.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.72 / $2,055.46 / $10,198.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95