| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.30 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $464.18 | $754.91 | $960.79 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |
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 | $409.30 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $464.18 | $754.91 | $960.79 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |