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Michigan 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 / $6,918.31 / $32,359.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,380.38 / $2,238.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,897.79 / $6,918.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,585.78 / $13,489.63