| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.09 | $1,103.57 | $8,500.00 | |
Medica
| Facility | $220.09 | $1,103.57 | $1,876.07 |
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 | $220.09 | $1,103.57 | $8,500.00 | |
Medica
| Facility | $220.09 | $1,103.57 | $1,876.07 |