| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $2,754.23 | $4,073.80 | |
Kaiser Permanente
| Professional | $416.87 | $436.52 | $851.14 | |
United
| Facility | $741.31 | $1,737.80 | $17,378.01 |
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 | $407.38 | $2,754.23 | $4,073.80 | |
Kaiser Permanente
| Professional | $416.87 | $436.52 | $851.14 | |
United
| Facility | $741.31 | $1,737.80 | $17,378.01 |