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West Virginia 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
$87.96 / $1,303.97 / $60,611.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.22 / $1,523.60 / $1,659.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,503.96 / $1,503.96 / $1,503.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,150.90 / $35,150.90 / $35,150.90