| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.82 | $588.84 | $812.83 | |
Cigna
| Professional | $138.04 | $436.52 | $1,445.44 | |
United
| Professional | $204.17 | $645.65 | $1,621.81 |
Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.82 | $588.84 | $812.83 | |
Cigna
| Professional | $138.04 | $436.52 | $1,445.44 | |
United
| Professional | $204.17 | $645.65 | $1,621.81 |