| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,479.11 | $9,120.11 | $16,595.87 | |
Medcost
| Facility | $1,230.27 | $1,778.28 | $2,818.38 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |
Ureteroneocystostomy; with vesico-psoas hitch or bladder flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,479.11 | $9,120.11 | $16,595.87 | |
Medcost
| Facility | $1,230.27 | $1,778.28 | $2,818.38 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |