| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $144.54 | $8,511.38 | |
Medica
| Facility | $144.54 | $204.17 | $426.58 | |
United
| Facility | $676.08 | $2,398.83 | $3,715.35 |
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $144.54 | $8,511.38 | |
Medica
| Facility | $144.54 | $204.17 | $426.58 | |
United
| Facility | $676.08 | $2,398.83 | $3,715.35 |