| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $252.26 | $252.26 | $10,000.00 | |
Medica
| Facility | $252.26 | $345.11 | $756.78 |
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 | $252.26 | $252.26 | $10,000.00 | |
Medica
| Facility | $252.26 | $345.11 | $756.78 |