go back

Alaska rates for HCPCS 69645

Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $14,125.38 / $22,387.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,862.09 / $9,772.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $7,079.46 / $10,000.00