| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $4,365.16 | $7,079.46 | |
Anthem BCBS
| Facility | $3,548.13 | $4,168.69 | $10,964.78 | |
United
| Facility | $1,905.46 | $4,570.88 | $9,332.54 |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $4,365.16 | $7,079.46 | |
Anthem BCBS
| Facility | $3,548.13 | $4,168.69 | $10,964.78 | |
United
| Facility | $1,905.46 | $4,570.88 | $9,332.54 |