| 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 | $920.34 | $4,082.89 | $5,838.53 | |
Providence
| Facility | $920.34 | $4,082.89 | $5,838.53 |
Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis
| 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 | $920.34 | $4,082.89 | $5,838.53 | |
Providence
| Facility | $920.34 | $4,082.89 | $5,838.53 |