| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $484.06 | $2,910.00 | $4,387.00 | |
Regence BlueShield
| Facility | $5,086.24 | $6,609.94 | $9,632.58 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |
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 | $484.06 | $2,910.00 | $4,387.00 | |
Regence BlueShield
| Facility | $5,086.24 | $6,609.94 | $9,632.58 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |