| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,978.24 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $1,644.96 | $6,659.60 | $9,523.23 | |
Providence
| Facility | $1,644.96 | $6,659.60 | $9,523.23 |
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); 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 | $3,978.24 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $1,644.96 | $6,659.60 | $9,523.23 | |
Providence
| Facility | $1,644.96 | $6,659.60 | $9,523.23 |