| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,190.81 | $5,743.00 | $9,078.00 | |
Regence BlueShield
| Facility | $8,413.68 | $11,103.62 | $16,181.16 | |
United
| Facility | $2,912.00 | $7,693.00 | $13,847.00 |
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 | $1,190.81 | $5,743.00 | $9,078.00 | |
Regence BlueShield
| Facility | $8,413.68 | $11,103.62 | $16,181.16 | |
United
| Facility | $2,912.00 | $7,693.00 | $13,847.00 |