| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.14 | $1,230.14 | $10,000.00 | |
Medica
| Facility | $1,230.14 | $1,810.07 | $3,690.42 |
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 | $1,230.14 | $1,230.14 | $10,000.00 | |
Medica
| Facility | $1,230.14 | $1,810.07 | $3,690.42 |