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Virginia 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
$1,995.26 / $6,165.95 / $15,488.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,413.10 / $9,332.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $4,168.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,290.87 / $3,548.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,995.26 / $3,090.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,949.84 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $11,481.54 / $23,988.33