| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $102.60 | $255.42 | $1,070.38 | |
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 | $102.60 | $255.42 | $1,070.38 | |
Medica
| Professional | $4,284.00 | $4,284.00 | $4,284.00 |