| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $713.88 | $4,450.00 | $8,031.00 | |
Anthem BCBS
| Facility | $2,826.00 | $4,451.02 | $9,678.00 | |
United
| Facility | $3,414.00 | $5,950.00 | $9,338.00 |
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 | $713.88 | $4,450.00 | $8,031.00 | |
Anthem BCBS
| Facility | $2,826.00 | $4,451.02 | $9,678.00 | |
United
| Facility | $3,414.00 | $5,950.00 | $9,338.00 |