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West Virginia 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
$1,013.76 / $1,013.76 / $3,550.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.33 / $1,185.25 / $1,291.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,171.78 / $1,171.78 / $1,171.78