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West Virginia 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
$1,193.14 / $1,400.00 / $9,120.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.24 / $1,393.88 / $1,518.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.22 / $1,374.22 / $1,374.22