| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,196.00 | $7,200.00 | $10,260.00 | |
Anthem BCBS
| Facility | $2,402.00 | $9,920.00 | $20,388.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,196.00 | $7,200.00 | $10,260.00 | |
Anthem BCBS
| Facility | $2,402.00 | $9,920.00 | $20,388.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |