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 | $1,110.00 | $3,351.00 | $8,000.00 | |
Anthem BCBS
| Facility | $2,064.00 | $4,214.00 | $9,640.00 | |
Medica
| Facility | $55.00 | $424.87 | $5,698.00 | |
United
| Facility | $1,708.00 | $3,502.00 | $6,854.00 |