| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $396.50 | $1,520.00 | $3,728.00 | |
BCBS
| Facility | $2,976.58 | $5,030.97 | $7,346.13 | |
United
| Facility | $882.00 | $3,238.00 | $8,257.00 |
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 | $396.50 | $1,520.00 | $3,728.00 | |
BCBS
| Facility | $2,976.58 | $5,030.97 | $7,346.13 | |
United
| Facility | $882.00 | $3,238.00 | $8,257.00 |