| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $12,732.00 | $12,732.00 | $31,027.00 |
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 |
|---|---|---|---|---|---|
United
| Facility | $12,732.00 | $12,732.00 | $31,027.00 |