| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,411.54 | $6,917.53 | $8,715.03 | |
Martin's Point
| Facility | $3,411.54 | $6,917.53 | $8,715.03 |
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 | $3,411.54 | $6,917.53 | $8,715.03 | |
Martin's Point
| Facility | $3,411.54 | $6,917.53 | $8,715.03 |