| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $1,659.59 | $4,168.69 | |
BCBS
| Facility | $3,019.95 | $5,011.87 | $7,244.36 | |
United
| Facility | $1,023.29 | $3,467.37 | $8,511.38 |
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 | $645.65 | $1,659.59 | $4,168.69 | |
BCBS
| Facility | $3,019.95 | $5,011.87 | $7,244.36 | |
United
| Facility | $1,023.29 | $3,467.37 | $8,511.38 |