| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $1,412.54 | $10,000.00 | |
Medica
| Facility | $1,380.38 | $2,137.96 | $4,073.80 | |
United
| Facility | $7,943.28 | $8,912.51 | $8,912.51 |
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 | $1,380.38 | $1,412.54 | $10,000.00 | |
Medica
| Facility | $1,380.38 | $2,137.96 | $4,073.80 | |
United
| Facility | $7,943.28 | $8,912.51 | $8,912.51 |