| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,292.79 | $3,294.00 | $5,743.00 | |
United
| Facility | $1,680.00 | $4,912.00 | $15,824.00 |
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 | $2,292.79 | $3,294.00 | $5,743.00 | |
United
| Facility | $1,680.00 | $4,912.00 | $15,824.00 |