| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $841.28 | $841.28 | $841.28 | |
Providence
| Facility | $415.50 | $981.50 | $1,010.10 |
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 | $841.28 | $841.28 | $841.28 | |
Providence
| Facility | $415.50 | $981.50 | $1,010.10 |