| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $711.00 | $2,550.00 | $2,937.00 | |
Medical Mutual of Ohio
| Professional | $185.47 | $185.47 | $984.47 |
Change Nephrostomy/Pyelostomy Tube
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $711.00 | $2,550.00 | $2,937.00 | |
Medical Mutual of Ohio
| Professional | $185.47 | $185.47 | $984.47 |