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 | $336.12 | $4,112.00 | $9,057.86 | |
BCBS
| Facility | $2,229.39 | $3,106.68 | $4,890.24 | |
Health Alliance Plan
| Facility | $1,113.96 | $4,112.00 | $5,756.00 | |
United
| Facility | $3,296.00 | $7,849.00 | $9,202.00 |