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Pennsylvania 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $4,990.00 / $10,600.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,190.93 / $14,201.27 / $38,224.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.00 / $5,742.00 / $11,938.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,477.31 / $1,477.31 / $1,613.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00