| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $955.51 | $6,864.06 | $11,298.00 | |
Horizon BCBS
| Facility | $13,851.67 | $14,382.16 | $27,428.23 | |
United
| Facility | $5,682.00 | $9,969.00 | $19,696.00 |
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 | $955.51 | $6,864.06 | $11,298.00 | |
Horizon BCBS
| Facility | $13,851.67 | $14,382.16 | $27,428.23 | |
United
| Facility | $5,682.00 | $9,969.00 | $19,696.00 |