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Colorado 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
$2,506.00 / $5,041.00 / $11,529.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.75 / $1,782.96 / $2,329.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.89 / $2,033.89 / $2,615.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,128.00 / $11,924.00 / $19,737.00