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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
$4,897.79 / $10,471.29 / $23,988.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $13,489.63 / $22,387.21
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $6,309.57 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $4,365.16
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,412.54 / $2,137.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,778.28 / $3,311.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $33,884.42 / $33,884.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,905.46 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $12,302.69 / $25,703.96