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
$1,819.00 / $5,845.00 / $12,568.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,264.00 / $12,274.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,112.98 / $3,478.50 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.19 / $1,657.19 / $10,297.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,262.00 / $3,846.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,657.19 / $10,297.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.00 / $7,395.00 / $14,770.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,572.42 / $1,572.42 / $4,814.67