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 | $1,000.00 | $4,387.00 | $10,439.00 | |
BCBS
| Facility | $220.00 | $309.29 | $651.39 | |
Medica
| Facility | $55.00 | $397.12 | $5,766.00 | |
United
| Facility | $1,779.00 | $3,647.00 | $6,988.00 |