| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $1,778.28 | $7,762.47 | |
Providence
| Facility | $1,348.96 | $1,778.28 | $3,162.28 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |
Ureteroneocystostomy; with vesico-psoas hitch or bladder flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $1,778.28 | $7,762.47 | |
Providence
| Facility | $1,348.96 | $1,778.28 | $3,162.28 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |