| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.58 | $160.58 | $8,500.00 | |
Medica
| Facility | $148.04 | $218.69 | $349.86 | |
United
| Facility | $125.00 | $125.00 | $125.00 |
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 | $160.58 | $160.58 | $8,500.00 | |
Medica
| Facility | $148.04 | $218.69 | $349.86 | |
United
| Facility | $125.00 | $125.00 | $125.00 |