| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,656.50 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,949.95 | $10,341.16 | $14,477.62 | |
Providence
| Facility | $1,949.95 | $10,341.16 | $14,477.62 |
Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,656.50 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,949.95 | $10,341.16 | $14,477.62 | |
Providence
| Facility | $1,949.95 | $10,341.16 | $14,477.62 |