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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
$1,544.00 / $5,430.95 / $10,600.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,777.78 / $14,029.40 / $55,846.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.00 / $5,430.95 / $11,182.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.03 / $1,449.03 / $1,550.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $6,885.00 / $19,040.18