| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $615.00 | $1,223.00 | $2,250.00 | |
BCBS
| Facility | $2,014.42 | $2,438.62 | $3,280.73 | |
United
| Facility | $950.00 | $3,129.00 | $5,251.00 |
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 | $615.00 | $1,223.00 | $2,250.00 | |
BCBS
| Facility | $2,014.42 | $2,438.62 | $3,280.73 | |
United
| Facility | $950.00 | $3,129.00 | $5,251.00 |