| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,374.87 | $2,374.87 | $2,374.87 | |
Aetna
| Professional | $2,374.87 | $2,374.87 | $2,374.87 | |
Anthem BCBS
| Professional | $66.64 | $95.68 | $126.59 |
Injectable Bulking Agent Dextranomer/Hyaluronic Acid Copolymer Implant
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,374.87 | $2,374.87 | $2,374.87 | |
Aetna
| Professional | $2,374.87 | $2,374.87 | $2,374.87 | |
Anthem BCBS
| Professional | $66.64 | $95.68 | $126.59 |