| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $14,125.38 | $22,387.21 | |
Moda Health
| Facility | $251.19 | $363.08 | $1,698.24 | |
Providence
| Facility | $363.08 | $1,202.26 | $1,737.80 |
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 | $776.25 | $14,125.38 | $22,387.21 | |
Moda Health
| Facility | $251.19 | $363.08 | $1,698.24 | |
Providence
| Facility | $363.08 | $1,202.26 | $1,737.80 |