| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.00 | $794.00 | $8,500.00 | |
Medica
| Facility | $794.00 | $1,053.47 | $2,382.00 |
Repair of component(s) of a multi-component, inflatable penile prosthesis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.00 | $794.00 | $8,500.00 | |
Medica
| Facility | $794.00 | $1,053.47 | $2,382.00 |