| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.18 | $4,301.00 | $10,871.00 | |
United
| Facility | $1,627.00 | $6,590.00 | $10,536.00 |
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 | $158.18 | $4,301.00 | $10,871.00 | |
United
| Facility | $1,627.00 | $6,590.00 | $10,536.00 |