| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $3,818.00 | $6,996.00 | |
Kaiser Permanente
| Professional | $1,161.24 | $2,446.92 | $2,446.92 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |
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 | $1,614.00 | $3,818.00 | $6,996.00 | |
Kaiser Permanente
| Professional | $1,161.24 | $2,446.92 | $2,446.92 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |