| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $42.51 | $238.91 | $930.27 | |
Medica
| Professional | $4,284.00 | $4,284.00 | $4,284.00 |
Change Nephrostomy/Pyelostomy Tube
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $42.51 | $238.91 | $930.27 | |
Medica
| Professional | $4,284.00 | $4,284.00 | $4,284.00 |