| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Professional | $6.00 | $311.70 | $375.50 | |
Wellcare
| Facility | $451.14 | $6,857.30 | $12,000.00 | |
Wellcare
| Professional | $1,692.26 | $1,692.26 | $1,692.26 |
Intro Guide Pelvis&/Ureter W/Dilat Nfros Tract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Oscar Health
| Professional | $6.00 | $311.70 | $375.50 | |
Wellcare
| Facility | $451.14 | $6,857.30 | $12,000.00 | |
Wellcare
| Professional | $1,692.26 | $1,692.26 | $1,692.26 |