| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,745.52 | $1,745.52 | $1,745.52 | |
Kaiser Permanente
| Professional | $1,334.38 | $1,744.62 | $3,116.19 |
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, with separate nephrostomy catheter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,745.52 | $1,745.52 | $1,745.52 | |
Kaiser Permanente
| Professional | $1,334.38 | $1,744.62 | $3,116.19 |