| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $3,735.24 | $9,859.00 | |
Anthem BCBS
| Facility | $4,769.10 | $5,299.00 | $8,600.00 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 |
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 | $100.00 | $3,735.24 | $9,859.00 | |
Anthem BCBS
| Facility | $4,769.10 | $5,299.00 | $8,600.00 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 |