| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $245.55 | $245.55 | $245.55 | |
Providence
| Facility | $144.09 | $220.41 | $301.07 |
Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $245.55 | $245.55 | $245.55 | |
Providence
| Facility | $144.09 | $220.41 | $301.07 |