| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,445.44 | $1,862.09 | |
BCBS
| Facility | $9,549.93 | $11,220.18 | $15,488.17 | |
United
| Facility | $251.19 | $588.84 | $1,548.82 |
Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,445.44 | $1,862.09 | |
BCBS
| Facility | $9,549.93 | $11,220.18 | $15,488.17 | |
United
| Facility | $251.19 | $588.84 | $1,548.82 |