| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,494.50 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $635.15 | $2,363.54 | $3,379.86 | |
Providence
| Facility | $635.15 | $2,363.54 | $3,379.86 |
Revision of urinary-cutaneous anastomosis (any type urostomy);
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,494.50 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $635.15 | $2,363.54 | $3,379.86 | |
Providence
| Facility | $635.15 | $2,363.54 | $3,379.86 |