| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $4,634.55 | $5,882.00 | |
Medica
| Professional | $1,230.75 | $1,887.73 | $8,711.23 |
Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $4,634.55 | $5,882.00 | |
Medica
| Professional | $1,230.75 | $1,887.73 | $8,711.23 |