| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,548.82 | $1,698.24 | $50,118.72 | |
Medica
| Facility | $1,698.24 | $2,511.89 | $4,466.84 | |
United
| Facility | $1,819.70 | $2,041.74 | $6,165.95 |
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 | $1,548.82 | $1,698.24 | $50,118.72 | |
Medica
| Facility | $1,698.24 | $2,511.89 | $4,466.84 | |
United
| Facility | $1,819.70 | $2,041.74 | $6,165.95 |