| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,478.20 | $9,062.00 | $16,467.00 | |
Medcost
| Facility | $1,183.21 | $1,626.00 | $2,679.67 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
Ureteroneocystostomy; with vesico-psoas hitch or bladder flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,478.20 | $9,062.00 | $16,467.00 | |
Medcost
| Facility | $1,183.21 | $1,626.00 | $2,679.67 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |