| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $461.00 | $936.00 | $2,367.03 | |
BCBS
| Facility | $1,481.21 | $1,481.21 | $1,481.21 | |
Cigna
| Facility | $993.02 | $993.02 | $993.02 | |
United
| Facility | $455.00 | $858.00 | $3,779.00 |
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 | $461.00 | $936.00 | $2,367.03 | |
BCBS
| Facility | $1,481.21 | $1,481.21 | $1,481.21 | |
Cigna
| Facility | $993.02 | $993.02 | $993.02 | |
United
| Facility | $455.00 | $858.00 | $3,779.00 |