| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $510.83 | $510.83 | $8,500.00 | |
Medica
| Facility | $510.83 | $724.05 | $1,532.49 |
Revision of urinary-cutaneous anastomosis (any type urostomy);
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $510.83 | $510.83 | $8,500.00 | |
Medica
| Facility | $510.83 | $724.05 | $1,532.49 |