| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $734.34 | $734.34 | $8,500.00 | |
Medica
| Facility | $734.34 | $1,032.33 | $2,203.02 |
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 | $734.34 | $734.34 | $8,500.00 | |
Medica
| Facility | $734.34 | $1,032.33 | $2,203.02 |