| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,715.35 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,230.27 | $1,995.26 | $7,943.28 | |
Providence
| Facility | $1,995.26 | $5,754.40 | $8,128.31 |
Ureteroneocystostomy; with vesico-psoas hitch or bladder flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,715.35 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,230.27 | $1,995.26 | $7,943.28 | |
Providence
| Facility | $1,995.26 | $5,754.40 | $8,128.31 |