| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.25 | $4,118.00 | $9,784.00 | |
Horizon BCBS
| Facility | $4,151.83 | $4,980.33 | $10,799.81 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |
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 | $224.25 | $4,118.00 | $9,784.00 | |
Horizon BCBS
| Facility | $4,151.83 | $4,980.33 | $10,799.81 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |