| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $1,445.44 | $2,238.72 | |
BCBS
| Facility | $4,073.80 | $4,786.30 | $6,456.54 | |
United
| Facility | $1,096.48 | $3,630.78 | $5,128.61 |
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 | $870.96 | $1,445.44 | $2,238.72 | |
BCBS
| Facility | $4,073.80 | $4,786.30 | $6,456.54 | |
United
| Facility | $1,096.48 | $3,630.78 | $5,128.61 |