| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,696.88 | $1,696.88 | $8,500.00 | |
Medica
| Facility | $1,696.88 | $2,365.65 | $3,705.00 | |
United
| Facility | $1,978.00 | $1,978.00 | $3,240.00 |
Laps Gstr Rstcv Px W/Byp Roux-En-Y Limb <150 Cm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,696.88 | $1,696.88 | $8,500.00 | |
Medica
| Facility | $1,696.88 | $2,365.65 | $3,705.00 | |
United
| Facility | $1,978.00 | $1,978.00 | $3,240.00 |