| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.22 | $103.22 | $103.22 | |
Aetna
| Professional | $99.57 | $103.22 | $171.65 | |
Cigna
| Professional | $11.82 | $11.82 | $11.82 | |
United
| Professional | $100.94 | $101.19 | $101.19 |
Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.22 | $103.22 | $103.22 | |
Aetna
| Professional | $99.57 | $103.22 | $171.65 | |
Cigna
| Professional | $11.82 | $11.82 | $11.82 | |
United
| Professional | $100.94 | $101.19 | $101.19 |