| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $320.35 | $1,690.00 | $6,012.13 | |
Providence
| Facility | $320.35 | $1,690.00 | $6,012.13 |
Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,464.00 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $320.35 | $1,690.00 | $6,012.13 | |
Providence
| Facility | $320.35 | $1,690.00 | $6,012.13 |