| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,820.00 | $9,774.00 | $14,552.94 | |
Aetna
| Professional | $2,236.00 | $13,413.92 | $14,772.57 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,820.00 | $9,774.00 | $14,552.94 | |
Aetna
| Professional | $2,236.00 | $13,413.92 | $14,772.57 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 |