| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $1,018.48 | $4,522.72 | $6,467.49 | |
Providence
| Facility | $1,018.48 | $4,522.72 | $6,467.49 |
Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $1,018.48 | $4,522.72 | $6,467.49 | |
Providence
| Facility | $1,018.48 | $4,522.72 | $6,467.49 |