go back

Tennessee 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
$1,812.42 / $4,341.45 / $10,746.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,014.00 / $6,480.00 / $9,419.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,720.68 / $16,547.20 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00