| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $315.63 | $1,211.52 | $1,732.47 | |
Providence
| Facility | $315.63 | $1,211.52 | $1,732.47 |
Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $315.63 | $1,211.52 | $1,732.47 | |
Providence
| Facility | $315.63 | $1,211.52 | $1,732.47 |