| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.00 | $3,498.00 | $10,439.00 | |
Medica
| Facility | $368.07 | $593.96 | $3,842.00 | |
United
| Facility | $825.00 | $2,081.00 | $3,918.00 |
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 | $1,023.00 | $3,498.00 | $10,439.00 | |
Medica
| Facility | $368.07 | $593.96 | $3,842.00 | |
United
| Facility | $825.00 | $2,081.00 | $3,918.00 |