| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,695.05 | $13,695.05 | $13,695.05 | |
Martin's Point
| Facility | $13,695.05 | $13,695.05 | $13,695.05 |
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 | $13,695.05 | $13,695.05 | $13,695.05 | |
Martin's Point
| Facility | $13,695.05 | $13,695.05 | $13,695.05 |