Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only
Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
Insurance Carrier
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $5,370.32 / $15,135.61
Facility
$1,318.26
$5,370.32
$15,135.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $11,481.54 / $19,498.45
Facility
$3,630.78
$11,481.54
$19,498.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,778.28 / $22,387.21
Facility
$512.86
$1,778.28
$22,387.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $5,623.41 / $19,054.61
Facility
$1,548.82
$5,623.41
$19,054.61
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