| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $215.87 | $1,573.84 | $7,827.13 | |
Aetna
| Facility | 50 | $6,196.20 | $6,196.20 | $6,196.20 |
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 | $215.87 | $1,573.84 | $7,827.13 | |
Aetna
| Facility | 50 | $6,196.20 | $6,196.20 | $6,196.20 |