| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,088.55 | $3,088.55 | $3,088.55 | |
Providence
| Facility | $1,907.99 | $2,657.36 | $3,536.31 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $3,088.55 | $3,088.55 | $3,088.55 | |
Providence
| Facility | $1,907.99 | $2,657.36 | $3,536.31 |