| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,576.94 | $2,576.94 | $2,576.94 | |
Providence
| Facility | $1,589.79 | $2,132.23 | $2,956.94 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $2,576.94 | $2,576.94 | $2,576.94 | |
Providence
| Facility | $1,589.79 | $2,132.23 | $2,956.94 |