| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,178.06 | $3,498.00 | $10,439.00 | |
Medica
| Facility | $213.25 | $987.64 | $3,561.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |
Removal (via snare/capture) 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 | $1,178.06 | $3,498.00 | $10,439.00 | |
Medica
| Facility | $213.25 | $987.64 | $3,561.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |