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Montana rates for HCPCS 69645

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,570.40 / $2,951.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,137.96 / $2,570.40