| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.63 | $2,910.00 | $4,387.00 | |
Regence BlueShield
| Facility | $7,298.64 | $9,810.86 | $14,297.23 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $420.63 | $2,910.00 | $4,387.00 | |
Regence BlueShield
| Facility | $7,298.64 | $9,810.86 | $14,297.23 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |