| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $312.11 | $410.25 | $12,000.00 | |
Medica
| Professional | $1,496.00 | $1,496.00 | $1,496.00 |
Intro Ureter Cath/Stnt Renal Pelvis Drg&/Njx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $312.11 | $410.25 | $12,000.00 | |
Medica
| Professional | $1,496.00 | $1,496.00 | $1,496.00 |