| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,525.33 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $1,456.18 | $5,901.43 | $8,439.04 | |
Providence
| Facility | $1,456.18 | $5,901.43 | $8,439.04 |
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 | $3,525.33 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $1,456.18 | $5,901.43 | $8,439.04 | |
Providence
| Facility | $1,456.18 | $5,901.43 | $8,439.04 |