| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.14 | $97.14 | $97.14 | |
BCBS
| Professional | $103.22 | $121.43 | $121.43 | |
United
| Professional | $101.19 | $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
| Professional | $97.14 | $97.14 | $97.14 | |
BCBS
| Professional | $103.22 | $121.43 | $121.43 | |
United
| Professional | $101.19 | $101.19 | $101.19 |