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Nebraska 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
$5,463.36 / $10,431.19 / $24,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,970.26 / $10,801.75 / $20,277.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.71 / $2,371.87 / $8,816.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,294.00 / $3,092.10 / $5,383.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00