| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
MountainHealth Co-op
| Facility | $549.54 | $676.08 | $741.31 | |
Providence
| Facility | $331.13 | $524.81 | $758.58 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
MountainHealth Co-op
| Facility | $549.54 | $676.08 | $741.31 | |
Providence
| Facility | $331.13 | $524.81 | $758.58 |