| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $9,549.93 | $16,595.87 | |
Moda Health
| Facility | $251.19 | $371.54 | $1,000.00 | |
Providence
| Facility | $295.12 | $389.05 | $1,000.00 |
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $9,549.93 | $16,595.87 | |
Moda Health
| Facility | $251.19 | $371.54 | $1,000.00 | |
Providence
| Facility | $295.12 | $389.05 | $1,000.00 |