| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.00 | $1,399.00 | $2,250.00 | |
BCBS
| Facility | $3,926.71 | $4,753.60 | $6,395.11 | |
United
| Facility | $950.00 | $3,129.00 | $5,251.00 |
Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.00 | $1,399.00 | $2,250.00 | |
BCBS
| Facility | $3,926.71 | $4,753.60 | $6,395.11 | |
United
| Facility | $950.00 | $3,129.00 | $5,251.00 |