| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $203.28 | $296.70 | $428.65 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
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 |
|---|---|---|---|---|---|
Medcost
| Facility | $203.28 | $296.70 | $428.65 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |