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Illinois 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
$1,202.26 / $4,677.35 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,709.64 / $25,118.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,137.96 / $6,760.83
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $5,370.32 / $12,302.69