| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $476.63 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $163.66 | $871.38 | $1,219.93 | |
Providence
| Facility | $163.66 | $871.38 | $1,219.93 |
Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $476.63 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $163.66 | $871.38 | $1,219.93 | |
Providence
| Facility | $163.66 | $871.38 | $1,219.93 |