| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,893.92 | $1,893.92 | $8,500.00 | |
Medica
| Facility | $1,777.78 | $2,605.75 | $4,161.00 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,893.92 | $1,893.92 | $8,500.00 | |
Medica
| Facility | $1,777.78 | $2,605.75 | $4,161.00 | |
United
| Facility | $681.00 | $681.00 | $681.00 |