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California 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
$2,802.46 / $10,070.00 / $21,861.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,585.00 / $11,216.00 / $21,514.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $15,436.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,685.47 / $4,355.56 / $10,261.32
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.17 / $1,784.29 / $2,408.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.18 / $1,969.31 / $3,562.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,154.66 / $16,547.20 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.76 / $1,928.99 / $2,854.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,284.00 / $12,186.00 / $26,451.00