| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $2,923.00 | $7,500.00 | |
Medica
| Facility | $156.02 | $691.80 | $1,410.40 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 |
Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $2,923.00 | $7,500.00 | |
Medica
| Facility | $156.02 | $691.80 | $1,410.40 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 |