| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.56 | $3,294.00 | $5,743.00 | |
Regence BlueShield
| Facility | $5,086.24 | $6,609.94 | $9,632.58 | |
United
| Facility | $2,155.00 | $6,097.00 | $8,267.00 |
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 | $360.56 | $3,294.00 | $5,743.00 | |
Regence BlueShield
| Facility | $5,086.24 | $6,609.94 | $9,632.58 | |
United
| Facility | $2,155.00 | $6,097.00 | $8,267.00 |