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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
$2,344.23 / $14,125.38 / $22,387.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,584.89 / $8,317.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,888.44 / $8,511.38