| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,612.00 | $8,400.00 | |
Medica
| Facility | $389.94 | $575.00 | $4,000.00 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,612.00 | $8,400.00 | |
Medica
| Facility | $389.94 | $575.00 | $4,000.00 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 |