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Arizona 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
$2,187.76 / $5,888.44 / $9,332.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,238.72 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $5,888.44 / $8,709.64