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Alaska rates for HCPCS 69642

Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,853.44 / $13,413.92 / $20,143.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.18 / $6,450.71 / $9,224.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.18 / $6,450.71 / $9,224.52