| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $1,778.28 | $2,454.71 | |
United
| Facility | $371.54 | $1,071.52 | $2,570.40 |
Ureteroneocystostomy; with vesico-psoas hitch or bladder flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $1,778.28 | $2,454.71 | |
United
| Facility | $371.54 | $1,071.52 | $2,570.40 |