| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.91 | $560.92 | $8,500.00 | |
Medica
| Facility | $84.91 | $560.92 | $1,682.79 | |
United
| Facility | $3,974.38 | $3,974.38 | $3,974.38 |
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 | $84.91 | $560.92 | $8,500.00 | |
Medica
| Facility | $84.91 | $560.92 | $1,682.79 | |
United
| Facility | $3,974.38 | $3,974.38 | $3,974.38 |