| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,577.71 | $6,577.71 | $6,577.71 | |
United
| Facility | $6,934.00 | $6,934.00 | $26,502.00 |
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 | $6,577.71 | $6,577.71 | $6,577.71 | |
United
| Facility | $6,934.00 | $6,934.00 | $26,502.00 |