| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,916.51 | $4,916.51 | $4,916.51 | |
HMSA
| Professional | $5,490.64 | $6,100.71 | $6,100.71 |
Prosthesis, urinary sphincter (implantable)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,916.51 | $4,916.51 | $4,916.51 | |
HMSA
| Professional | $5,490.64 | $6,100.71 | $6,100.71 |