| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.72 | $3,294.00 | $7,568.00 | |
Regence BlueShield
| Facility | $5,086.24 | $6,609.94 | $9,632.58 | |
United
| Facility | $2,155.00 | $6,097.00 | $8,267.00 |
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 | $402.72 | $3,294.00 | $7,568.00 | |
Regence BlueShield
| Facility | $5,086.24 | $6,609.94 | $9,632.58 | |
United
| Facility | $2,155.00 | $6,097.00 | $8,267.00 |