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; including new access into the renal collecting system
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $573.00 | $3,218.75 | $7,572.00 | |
BCBS
| Facility | $3,302.10 | $5,160.00 | $10,536.00 | |
Cigna
| Facility | $1,741.63 | $1,741.63 | $2,002.74 | |
United
| Facility | $2,637.00 | $5,735.00 | $9,622.00 |
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