| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $2,187.76 | $2,818.38 | $4,073.80 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |
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 | $2,570.40 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $2,187.76 | $2,818.38 | $4,073.80 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |