| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,017.39 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $701.65 | $3,688.19 | $5,163.47 | |
Providence
| Facility | $701.65 | $3,688.19 | $5,163.47 |
Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,017.39 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $701.65 | $3,688.19 | $5,163.47 | |
Providence
| Facility | $701.65 | $3,688.19 | $5,163.47 |