go back

West 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
$1,400.00 / $1,434.68 / $3,550.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,526.84 / $1,674.91 / $1,824.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.19 / $1,657.19 / $1,657.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,034.67 / $72,034.67 / $72,034.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,585.53 / $16,585.53 / $16,585.53