| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,691.53 | $4,897.79 | $8,511.38 | |
Anthem BCBS
| Facility | $7,413.10 | $12,302.69 | $13,803.84 | |
United
| Facility | $5,754.40 | $8,709.64 | $11,748.98 |
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 | $2,691.53 | $4,897.79 | $8,511.38 | |
Anthem BCBS
| Facility | $7,413.10 | $12,302.69 | $13,803.84 | |
United
| Facility | $5,754.40 | $8,709.64 | $11,748.98 |