| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $3,630.78 | $7,943.28 | |
BCBS
| Facility | $218.78 | $295.12 | $446.68 | |
Medica
| Facility | $169.82 | $870.96 | $2,290.87 | |
United
| Facility | $524.81 | $1,548.82 | $2,570.40 |
Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $3,630.78 | $7,943.28 | |
BCBS
| Facility | $218.78 | $295.12 | $446.68 | |
Medica
| Facility | $169.82 | $870.96 | $2,290.87 | |
United
| Facility | $524.81 | $1,548.82 | $2,570.40 |