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New Mexico 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
$1,698.24 / $2,089.30 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $15,488.17 / $24,547.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,698.24 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $11,220.18 / $25,703.96