| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,411.00 | $5,297.00 | $8,031.00 | |
Anthem BCBS
| Facility | $8,873.00 | $9,678.00 | $12,904.00 | |
United
| Facility | $5,325.00 | $8,250.00 | $11,880.00 |
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 | $2,411.00 | $5,297.00 | $8,031.00 | |
Anthem BCBS
| Facility | $8,873.00 | $9,678.00 | $12,904.00 | |
United
| Facility | $5,325.00 | $8,250.00 | $11,880.00 |