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Illinois 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
$1,095.45 / $3,384.70 / $9,691.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,070.62 / $11,810.19 / $27,474.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.00 / $1,383.00 / $1,434.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.68 / $2,006.70 / $5,914.69
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $5,978.00 / $12,241.00