| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $5,076.00 | $6,945.00 | |
CareFirst
| Professional | $2,874.00 | $5,359.00 | $19,073.00 | |
United
| Facility | $1,832.00 | $6,073.00 | $26,408.00 |
Cystourethroscopy With Ureteroscopy And/Or Pyelo-Scopy With Lithotripsy And Ureteral Catheterization For Steerable Vacuum Aspiration Of The Kidney Collecting System Ureter Bladder And Urethra Ifapplicable (Must Use A Steerable Ureteral Catheter) (Desc Rvsd 1/1/23)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $5,076.00 | $6,945.00 | |
CareFirst
| Professional | $2,874.00 | $5,359.00 | $19,073.00 | |
United
| Facility | $1,832.00 | $6,073.00 | $26,408.00 |