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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
$1,645.77 / $6,705.00 / $14,867.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.62 / $1,687.94 / $2,081.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.57 / $1,989.04 / $2,883.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.85 / $1,928.20 / $6,901.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00