| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $431.45 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $417.54 | $908.13 | $908.13 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 |
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 | $431.45 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $417.54 | $908.13 | $908.13 | |
United
| Facility | $808.00 | $1,171.00 | $26,408.00 |