| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $1,445.44 | $2,238.72 | |
BCBS
| Facility | $2,089.30 | $2,454.71 | $3,311.31 | |
United
| Facility | $1,096.48 | $3,630.78 | $5,128.61 |
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 | $758.58 | $1,445.44 | $2,238.72 | |
BCBS
| Facility | $2,089.30 | $2,454.71 | $3,311.31 | |
United
| Facility | $1,096.48 | $3,630.78 | $5,128.61 |