| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,946.00 | $9,472.00 | $17,487.00 | |
Kaiser Permanente
| Professional | $1,547.09 | $1,845.72 | $4,127.71 |
Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,946.00 | $9,472.00 | $17,487.00 | |
Kaiser Permanente
| Professional | $1,547.09 | $1,845.72 | $4,127.71 |