| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.00 | $927.00 | $2,250.00 | |
BCBS
| Facility | $2,014.42 | $2,438.62 | $3,280.73 | |
United
| Facility | $625.00 | $1,768.00 | $3,360.00 |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.00 | $927.00 | $2,250.00 | |
BCBS
| Facility | $2,014.42 | $2,438.62 | $3,280.73 | |
United
| Facility | $625.00 | $1,768.00 | $3,360.00 |