| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,606.93 | $15,135.61 | $15,135.61 | |
Martin's Point
| Facility | $6,606.93 | $6,606.93 | $15,135.61 |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,606.93 | $15,135.61 | $15,135.61 | |
Martin's Point
| Facility | $6,606.93 | $6,606.93 | $15,135.61 |