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Texas 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
$1,288.25 / $4,466.84 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,762.47 / $15,135.61
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,168.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $33,884.42 / $33,884.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,862.09 / $7,585.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,584.89 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,760.83 / $13,803.84