| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,731.38 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,632.15 | $8,649.87 | $12,109.82 | |
Providence
| Facility | $1,632.15 | $8,649.87 | $12,109.82 |
Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,731.38 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,632.15 | $8,649.87 | $12,109.82 | |
Providence
| Facility | $1,632.15 | $8,649.87 | $12,109.82 |