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New York rates for HCPCS 69641

Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $5,888.44 / $15,848.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,467.37 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,168.69 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,819.70 / $3,630.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $56,234.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,888.44 / $13,803.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $3,388.44