| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $4,073.80 | $7,762.47 | |
Kaiser Permanente
| Professional | $229.09 | $245.47 | $537.03 | |
United
| Facility | $3,311.31 | $14,454.40 | $26,915.35 |
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 | $257.04 | $4,073.80 | $7,762.47 | |
Kaiser Permanente
| Professional | $229.09 | $245.47 | $537.03 | |
United
| Facility | $3,311.31 | $14,454.40 | $26,915.35 |