| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.58 | $3,548.13 | $7,943.28 | |
Medica
| Facility | $144.54 | $478.63 | $1,479.11 | |
United
| Facility | $190.55 | $537.03 | $1,905.46 |
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 | $426.58 | $3,548.13 | $7,943.28 | |
Medica
| Facility | $144.54 | $478.63 | $1,479.11 | |
United
| Facility | $190.55 | $537.03 | $1,905.46 |