| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $1,023.29 | $8,511.38 | |
Medica
| Facility | $218.78 | $660.69 | $1,995.26 | |
United
| Facility | $4,677.35 | $5,128.61 | $5,128.61 |
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 | $204.17 | $1,023.29 | $8,511.38 | |
Medica
| Facility | $218.78 | $660.69 | $1,995.26 | |
United
| Facility | $4,677.35 | $5,128.61 | $5,128.61 |