| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $14,125.38 | $22,387.21 | |
Moda Health
| Facility | $1,096.48 | $1,584.89 | $8,317.64 | |
Providence
| Facility | $1,584.89 | $5,888.44 | $8,511.38 |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $14,125.38 | $22,387.21 | |
Moda Health
| Facility | $1,096.48 | $1,584.89 | $8,317.64 | |
Providence
| Facility | $1,584.89 | $5,888.44 | $8,511.38 |