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Hawaii 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
$2,583.13 / $8,431.00 / $16,782.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.83 / $1,630.73 / $1,902.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00