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 | $245.47 | $1,000.00 | $1,698.24 | |
CareSource
| Facility | $281.84 | $281.84 | $338.84 | |
Cigna
| Facility | $34.67 | $446.68 | $446.68 | |
United
| Facility | $2,884.03 | $2,884.03 | $9,772.37 |