| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $2,754.23 | $4,073.80 | |
Kaiser Permanente
| Professional | $457.09 | $478.63 | $933.25 | |
United
| Facility | $1,023.29 | $8,128.31 | $45,708.82 |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $2,754.23 | $4,073.80 | |
Kaiser Permanente
| Professional | $457.09 | $478.63 | $933.25 | |
United
| Facility | $1,023.29 | $8,128.31 | $45,708.82 |