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Michigan rates for HCPCS 69642

Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction

Facilitymedian $6,761 · 10th–90th $1,698$19,0550%20%10th90th$6,761$0.5$5.0$50.0$500.0$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $6,760.83 / $33,113.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $4,897.79 / $8,709.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $7,762.47 / $14,791.08