| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $615.03 | $615.03 | $8,500.00 | |
Medica
| Facility | $615.03 | $854.26 | $1,845.09 |
Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $615.03 | $615.03 | $8,500.00 | |
Medica
| Facility | $615.03 | $854.26 | $1,845.09 |