| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | $214.01 | $1,024.71 | $1,024.71 | |
Lucent Health
| 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 |
|---|---|---|---|---|---|
Lucent Health
| Facility | $214.01 | $1,024.71 | $1,024.71 | |
Lucent Health
| Professional | $1,138.00 | $1,138.00 | $1,138.00 |