| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,175.00 | $7,365.00 | $13,151.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $150.56 | $224.87 | $458.00 | |
United
| Facility | $191.00 | $550.00 | $1,713.00 |
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 | $1,175.00 | $7,365.00 | $13,151.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $150.56 | $224.87 | $458.00 | |
United
| Facility | $191.00 | $550.00 | $1,713.00 |