| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $1,821.00 | $4,907.54 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |
Ureteroneocystostomy; with vesico-psoas hitch or bladder flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $1,821.00 | $4,907.54 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |