| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,445.44 | $1,862.09 | |
BCBS
| Facility | $4,073.80 | $4,786.30 | $6,456.54 | |
United
| Facility | $831.76 | $3,019.95 | $4,365.16 |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,445.44 | $1,862.09 | |
BCBS
| Facility | $4,073.80 | $4,786.30 | $6,456.54 | |
United
| Facility | $831.76 | $3,019.95 | $4,365.16 |