| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,737.80 | $1,737.80 | $1,737.80 | |
Kaiser Permanente
| Professional | $234.42 | $269.15 | $489.78 | |
United
| Facility | $2,238.72 | $2,238.72 | $2,238.72 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $1,737.80 | $1,737.80 | $1,737.80 | |
Kaiser Permanente
| Professional | $234.42 | $269.15 | $489.78 | |
United
| Facility | $2,238.72 | $2,238.72 | $2,238.72 |