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Tennessee 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
$1,821.00 / $4,341.45 / $10,746.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,171.00 / $6,223.00 / $9,272.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,348.80 / $16,547.20 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,271.00 / $5,605.00 / $10,104.00