| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,424.15 | $3,243.94 | $3,955.04 | |
United
| Facility | $3,146.00 | $4,086.00 | $9,622.00 |
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, with separate nephrostomy catheter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,424.15 | $3,243.94 | $3,955.04 | |
United
| Facility | $3,146.00 | $4,086.00 | $9,622.00 |