| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $259.22 | $1,121.77 | $8,500.00 | |
Medica
| Facility | $259.22 | $1,121.77 | $3,365.31 |
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 | $259.22 | $1,121.77 | $8,500.00 | |
Medica
| Facility | $259.22 | $1,121.77 | $3,365.31 |