| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $435.81 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $499.28 | $784.45 | $998.39 | |
United
| Facility | $3,085.00 | $3,085.00 | $4,616.00 |
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 | $435.81 | $2,145.78 | $7,838.38 | |
Providence
| Facility | $499.28 | $784.45 | $998.39 | |
United
| Facility | $3,085.00 | $3,085.00 | $4,616.00 |