| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $1,126.01 | $5,909.00 | $8,272.60 | |
Providence
| Facility | $1,126.01 | $5,909.00 | $8,272.60 |
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $13,413.92 | |
Moda Health
| Facility | $1,126.01 | $5,909.00 | $8,272.60 | |
Providence
| Facility | $1,126.01 | $5,909.00 | $8,272.60 |