go back

Nebraska 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
$5,463.36 / $11,611.47 / $25,648.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,970.26 / $10,801.75 / $20,277.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.04 / $2,622.57 / $9,855.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,428.00 / $3,407.64 / $5,383.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,531.16 / $8,816.00