| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 |
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 |