| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,000.37 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,239.98 | $5,022.64 | $7,182.39 | |
Providence
| Facility | $1,239.98 | $5,022.64 | $7,182.39 |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,000.37 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,239.98 | $5,022.64 | $7,182.39 | |
Providence
| Facility | $1,239.98 | $5,022.64 | $7,182.39 |