| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $2,754.23 | $4,073.80 | |
Kaiser Permanente
| Professional | $436.52 | $467.74 | $912.01 | |
United
| Facility | $1,023.29 | $8,128.31 | $26,302.68 |
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 | $426.58 | $2,754.23 | $4,073.80 | |
Kaiser Permanente
| Professional | $436.52 | $467.74 | $912.01 | |
United
| Facility | $1,023.29 | $8,128.31 | $26,302.68 |