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Pennsylvania 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
$1,621.81 / $7,244.36 / $12,882.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $17,378.01 / $24,547.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $5,495.41 / $11,220.18
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $3,090.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,466.84 / $18,197.01