| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $457.09 | $457.09 | $457.09 | |
MountainHealth Co-op
| Facility | $501.19 | $616.60 | $660.69 | |
Providence
| Facility | $302.00 | $478.63 | $676.08 |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $457.09 | $457.09 | $457.09 | |
MountainHealth Co-op
| Facility | $501.19 | $616.60 | $660.69 | |
Providence
| Facility | $302.00 | $478.63 | $676.08 |