| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $5,888.44 | $10,964.78 | |
Horizon BCBS
| Facility | $4,168.69 | $6,606.93 | $10,471.29 | |
United
| Facility | $2,951.21 | $6,606.93 | $10,964.78 |
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 | $2,570.40 | $5,888.44 | $10,964.78 | |
Horizon BCBS
| Facility | $4,168.69 | $6,606.93 | $10,471.29 | |
United
| Facility | $2,951.21 | $6,606.93 | $10,964.78 |