| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,212.35 | $1,212.35 | $10,000.00 | |
Medica
| Facility | $1,212.35 | $1,724.07 | $5,257.69 |
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 | $1,212.35 | $1,212.35 | $10,000.00 | |
Medica
| Facility | $1,212.35 | $1,724.07 | $5,257.69 |