go back

New York 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
$1,862.09 / $5,370.32 / $12,882.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $13,803.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,467.37 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,168.69 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,290.87 / $5,248.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,888.44 / $13,803.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $4,786.30