| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,471.05 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $106.19 | $571.23 | $3,257.07 | |
Providence
| Facility | $106.19 | $571.23 | $3,257.07 |
Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,471.05 | $6,541.00 | $13,413.92 | |
Moda Health
| Facility | $106.19 | $571.23 | $3,257.07 | |
Providence
| Facility | $106.19 | $571.23 | $3,257.07 |