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Alaska rates for HCPCS 69643

Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,525.33 / $13,413.92 / $20,143.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.18 / $5,901.43 / $8,439.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.18 / $5,901.43 / $8,439.04