| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,564.48 | $4,833.00 | $9,719.00 | |
Kaiser Permanente
| Professional | $1,555.01 | $3,260.88 | $3,260.88 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |
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 | $1,564.48 | $4,833.00 | $9,719.00 | |
Kaiser Permanente
| Professional | $1,555.01 | $3,260.88 | $3,260.88 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |