| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $896.31 | $4,450.00 | $8,031.00 | |
Anthem BCBS
| Facility | $5,786.00 | $8,217.00 | $11,908.00 | |
United
| Facility | $3,414.00 | $5,950.00 | $9,338.00 |
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 | $896.31 | $4,450.00 | $8,031.00 | |
Anthem BCBS
| Facility | $5,786.00 | $8,217.00 | $11,908.00 | |
United
| Facility | $3,414.00 | $5,950.00 | $9,338.00 |