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Montana rates for HCPCS 69644

Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.87 / $2,381.87 / $2,381.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.78 / $2,532.40 / $2,769.72