| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $84.19 | $192.24 | $301.87 | |
Medica
| Professional | $1,138.00 | $1,138.00 | $1,138.00 |
Intro Cath In Renal Pelvis Drg&/Njx Prq Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $84.19 | $192.24 | $301.87 | |
Medica
| Professional | $1,138.00 | $1,138.00 | $1,138.00 |