| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $55.00 | $4,634.55 | $4,634.55 | |
Lucent Health
| Professional | $8,711.23 | $8,711.23 | $8,711.23 |
Pyelotomy Complicated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $55.00 | $4,634.55 | $4,634.55 | |
Lucent Health
| Professional | $8,711.23 | $8,711.23 | $8,711.23 |