| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,581.20 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,925.03 | $10,203.54 | $14,284.96 | |
Providence
| Facility | $1,925.03 | $10,203.54 | $14,284.96 |
Revision Open Gastric Restrictive Px Not Device
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,581.20 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,925.03 | $10,203.54 | $14,284.96 | |
Providence
| Facility | $1,925.03 | $10,203.54 | $14,284.96 |