| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,361.00 | $3,506.00 | $10,439.00 | |
Medica
| Facility | $78.02 | $637.72 | $2,297.33 | |
United
| Facility | $825.00 | $2,297.33 | $3,918.00 |
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 | $1,361.00 | $3,506.00 | $10,439.00 | |
Medica
| Facility | $78.02 | $637.72 | $2,297.33 | |
United
| Facility | $825.00 | $2,297.33 | $3,918.00 |