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Michigan 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
$1,707.03 / $5,796.05 / $33,428.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,050.93 / $11,732.46 / $15,982.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.95 / $6,853.00 / $33,428.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00