| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $3,630.78 | $7,943.28 | |
Medica
| Facility | $194.98 | $1,380.38 | $3,801.89 | |
United
| Facility | $1,513.56 | $2,089.30 | $4,677.35 |
Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $3,630.78 | $7,943.28 | |
Medica
| Facility | $194.98 | $1,380.38 | $3,801.89 | |
United
| Facility | $1,513.56 | $2,089.30 | $4,677.35 |