| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,224.77 | $8,356.79 | $21,453.48 | |
Moda Health
| Facility | $1,798.69 | $3,215.03 | $5,274.54 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,224.77 | $8,356.79 | $21,453.48 | |
Moda Health
| Facility | $1,798.69 | $3,215.03 | $5,274.54 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |