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Texas 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
$1,202.26 / $4,168.69 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,762.47 / $15,135.61
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $3,801.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $6,456.54 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $33,884.42 / $33,884.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,584.89 / $6,918.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,760.83 / $13,803.84