| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,050.02 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,294.40 | $5,750.68 | $8,223.46 | |
Providence
| Facility | $1,294.40 | $5,750.68 | $8,223.46 |
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,050.02 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,294.40 | $5,750.68 | $8,223.46 | |
Providence
| Facility | $1,294.40 | $5,750.68 | $8,223.46 |