| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.08 | $1,584.89 | $8,709.64 | |
Providence
| Facility | $346.74 | $933.25 | $2,187.76 | |
United
| Facility | $794.33 | $9,120.11 | $15,488.17 |
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 | $363.08 | $1,584.89 | $8,709.64 | |
Providence
| Facility | $346.74 | $933.25 | $2,187.76 | |
United
| Facility | $794.33 | $9,120.11 | $15,488.17 |