| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,265.80 | $8,511.38 | $12,022.64 | |
Horizon BCBS
| Facility | $12,022.64 | $19,054.61 | $30,199.52 | |
United
| Facility | $4,570.88 | $9,120.11 | $21,379.62 |
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 | $4,265.80 | $8,511.38 | $12,022.64 | |
Horizon BCBS
| Facility | $12,022.64 | $19,054.61 | $30,199.52 | |
United
| Facility | $4,570.88 | $9,120.11 | $21,379.62 |