| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $502.10 | $3,888.70 | $12,000.00 | |
Medica
| Professional | $1,428.00 | $1,428.00 | $1,428.00 |
Introduction Of Intracatheter Or Catheter Into Renal Pelvis For Drainage And/Or Injection, Percutaneous
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $502.10 | $3,888.70 | $12,000.00 | |
Medica
| Professional | $1,428.00 | $1,428.00 | $1,428.00 |