| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $1,288.25 | $3,890.45 | |
BCBS
| Facility | $0.02 | $1,949.84 | $5,011.87 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
United
| Facility | $208.93 | $512.86 | $1,258.93 |
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 | $501.19 | $1,288.25 | $3,890.45 | |
BCBS
| Facility | $0.02 | $1,949.84 | $5,011.87 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
United
| Facility | $208.93 | $512.86 | $1,258.93 |