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 | $676.08 | $3,715.35 | $9,549.93 | |
BCBS
| Facility | $2,511.89 | $5,011.87 | $13,489.63 | |
Cigna
| Facility | $380.19 | $831.76 | $2,089.30 | |
United
| Facility | $1,905.46 | $5,623.41 | $12,302.69 |
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