| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,479.00 | $10,250.00 | $16,117.00 | |
Hometown Health
| Professional | $22.16 | $1,511.34 | $2,288.58 | |
Hometown Health
| Professional | $16.62 | $1,307.76 | $1,961.64 |
Replantation Penis Comp Amputation W/Ureth Rep
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,479.00 | $10,250.00 | $16,117.00 | |
Hometown Health
| Professional | $22.16 | $1,511.34 | $2,288.58 | |
Hometown Health
| Professional | $16.62 | $1,307.76 | $1,961.64 |