| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,473.17 | $1,473.17 | $10,000.00 | |
Medica
| Facility | $1,473.17 | $2,138.19 | $4,419.51 |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,473.17 | $1,473.17 | $10,000.00 | |
Medica
| Facility | $1,473.17 | $2,138.19 | $4,419.51 |