| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.67 | $864.67 | $8,500.00 | |
Aetna
| Facility | 52 | $432.34 | $432.34 | $432.34 |
Medica
| Facility | $864.67 | $1,217.43 | $2,594.01 |
Rmvl & Rplcmt Inflatable Penile Prosth Same Sess
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.67 | $864.67 | $8,500.00 | |
Aetna
| Facility | 52 | $432.34 | $432.34 | $432.34 |
Medica
| Facility | $864.67 | $1,217.43 | $2,594.01 |