| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $237.31 | $296.10 | $610.33 | |
Medica
| Professional | $1,496.00 | $1,496.00 | $1,496.00 |
Introduction Of Ureteral Catheter Or Stent Into Ureter Through Renal Pelvis For Drainage And/Or Injection, Percutaneou
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $237.31 | $296.10 | $610.33 | |
Medica
| Professional | $1,496.00 | $1,496.00 | $1,496.00 |