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 | $314.20 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $3,170.34 | $4,333.57 | $10,011.14 | |
Health Alliance Plan
| Facility | $262.20 | $2,877.00 | $4,933.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |