| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $831.76 | $831.76 | $831.76 | |
MountainHealth Co-op
| Facility | $891.25 | $933.25 | $1,096.48 | |
Providence
| Facility | $489.78 | $776.25 | $1,000.00 |
Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $831.76 | $831.76 | $831.76 | |
MountainHealth Co-op
| Facility | $891.25 | $933.25 | $1,096.48 | |
Providence
| Facility | $489.78 | $776.25 | $1,000.00 |