| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,317.64 | $15,135.61 | $16,595.87 | |
United
| Professional | $912.01 | $912.01 | $1,348.96 |
Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,317.64 | $15,135.61 | $16,595.87 | |
United
| Professional | $912.01 | $912.01 | $1,348.96 |