| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $4,365.16 | $7,079.46 | |
Anthem BCBS
| Facility | $7,079.46 | $14,125.38 | $16,595.87 | |
United
| Facility | $4,570.88 | $7,079.46 | $11,220.18 |
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 | $741.31 | $4,365.16 | $7,079.46 | |
Anthem BCBS
| Facility | $7,079.46 | $14,125.38 | $16,595.87 | |
United
| Facility | $4,570.88 | $7,079.46 | $11,220.18 |