| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $4,967.16 | $9,859.00 | |
Anthem BCBS
| Facility | $4,769.10 | $5,299.00 | $8,600.00 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 |
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 | $100.00 | $4,967.16 | $9,859.00 | |
Anthem BCBS
| Facility | $4,769.10 | $5,299.00 | $8,600.00 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 |