| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $6,606.93 | $16,595.87 | |
Moda Health
| Facility | $645.65 | $1,047.13 | $4,168.69 | |
Providence
| Facility | $1,047.13 | $3,019.95 | $4,265.80 |
Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $6,606.93 | $16,595.87 | |
Moda Health
| Facility | $645.65 | $1,047.13 | $4,168.69 | |
Providence
| Facility | $1,047.13 | $3,019.95 | $4,265.80 |