| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,602.74 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $1,490.11 | $6,031.02 | $8,624.36 | |
Providence
| Facility | $1,490.11 | $6,031.02 | $8,624.36 |
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,602.74 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $1,490.11 | $6,031.02 | $8,624.36 | |
Providence
| Facility | $1,490.11 | $6,031.02 | $8,624.36 |