| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $12,224.20 | $16,010.56 | $18,053.93 | |
Cigna
| Facility | $699.00 | $699.00 | $1,138.50 | |
Cigna
| Facility | AS | $111.55 | $111.55 | $111.55 |
Exclusion Sm Int From Pelvis Mesh/Prosth/Tiss
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $12,224.20 | $16,010.56 | $18,053.93 | |
Cigna
| Facility | $699.00 | $699.00 | $1,138.50 | |
Cigna
| Facility | AS | $111.55 | $111.55 | $111.55 |