| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.09 | $1,305.00 | $3,804.00 | |
BCBS
| Facility | $3,259.72 | $3,259.72 | $3,911.66 | |
United
| Facility | $1,240.00 | $2,314.00 | $5,652.00 |
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 | $343.09 | $1,305.00 | $3,804.00 | |
BCBS
| Facility | $3,259.72 | $3,259.72 | $3,911.66 | |
United
| Facility | $1,240.00 | $2,314.00 | $5,652.00 |