| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $511.28 | $2,459.44 | $3,443.23 | |
Providence
| Facility | $511.28 | $2,459.44 | $3,443.23 |
Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $511.28 | $2,459.44 | $3,443.23 | |
Providence
| Facility | $511.28 | $2,459.44 | $3,443.23 |