| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $1,659.59 | $2,041.74 | |
BCBS
| Facility | $3,235.94 | $3,235.94 | $4,466.84 | |
United
| Facility | $1,230.27 | $2,951.21 | $10,000.00 |
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 | $812.83 | $1,659.59 | $2,041.74 | |
BCBS
| Facility | $3,235.94 | $3,235.94 | $4,466.84 | |
United
| Facility | $1,230.27 | $2,951.21 | $10,000.00 |