| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
University Health Alliance
| Professional | $29.27 | $1,147.89 | $1,812.78 |
Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
University Health Alliance
| Professional | $29.27 | $1,147.89 | $1,812.78 |