| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.00 | $927.00 | $2,250.00 | |
BCBS
| Facility | $3,926.71 | $4,753.60 | $6,395.11 | |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |
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 | $575.00 | $927.00 | $2,250.00 | |
BCBS
| Facility | $3,926.71 | $4,753.60 | $6,395.11 | |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |