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Texas 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
$1,267.00 / $3,792.00 / $13,004.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,121.85 / $7,421.31 / $14,454.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.71 / $1,312.71 / $1,312.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,187.68 / $4,187.68 / $4,187.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.67 / $1,900.58 / $3,166.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.67 / $1,902.67 / $3,626.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,002.00 / $13,134.00