| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.61 | $4,294.00 | $9,860.00 | |
Horizon BCBS
| Facility | $4,019.14 | $4,506.66 | $9,498.02 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |
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 | $273.61 | $4,294.00 | $9,860.00 | |
Horizon BCBS
| Facility | $4,019.14 | $4,506.66 | $9,498.02 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |