| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,037.56 | $1,037.56 | $8,500.00 | |
Medica
| Facility | $1,037.56 | $1,486.28 | $3,112.68 |
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 | $1,037.56 | $1,037.56 | $8,500.00 | |
Medica
| Facility | $1,037.56 | $1,486.28 | $3,112.68 |