| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.56 | $153.56 | $8,500.00 | |
Medica
| Facility | $153.56 | $206.72 | $447.39 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $153.56 | $153.56 | $8,500.00 | |
Medica
| Facility | $153.56 | $206.72 | $447.39 | |
United
| Facility | $681.00 | $681.00 | $681.00 |