| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $1,548.82 | $8,709.64 | |
Providence
| Facility | $794.33 | $1,071.52 | $1,862.09 | |
United
| Facility | $794.33 | $9,120.11 | $15,488.17 |
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 | $1,047.13 | $1,548.82 | $8,709.64 | |
Providence
| Facility | $794.33 | $1,071.52 | $1,862.09 | |
United
| Facility | $794.33 | $9,120.11 | $15,488.17 |