| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $690.46 | $690.46 | $8,500.00 | |
Medica
| Facility | $675.69 | $963.70 | $1,530.00 | |
United
| Facility | $1,530.00 | $1,530.00 | $1,530.00 |
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 | $690.46 | $690.46 | $8,500.00 | |
Medica
| Facility | $675.69 | $963.70 | $1,530.00 | |
United
| Facility | $1,530.00 | $1,530.00 | $1,530.00 |