| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.62 | $1,419.58 | $2,895.58 | |
Martin's Point
| Facility | $2,895.58 | $2,895.58 | $2,895.58 |
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 | $330.62 | $1,419.58 | $2,895.58 | |
Martin's Point
| Facility | $2,895.58 | $2,895.58 | $2,895.58 |