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Maine 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
$6,917.53 / $6,917.53 / $9,960.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,917.53 / $6,917.53 / $9,960.04