| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $1,288.25 | $3,890.45 | |
BCBS
| Facility | $1,737.80 | $2,951.21 | $4,265.80 | |
United
| Facility | $831.76 | $2,630.27 | $6,606.93 |
Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $1,288.25 | $3,890.45 | |
BCBS
| Facility | $1,737.80 | $2,951.21 | $4,265.80 | |
United
| Facility | $831.76 | $2,630.27 | $6,606.93 |