| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,602.50 | $1,602.50 | $8,500.00 | |
Medica
| Facility | $1,503.97 | $2,020.29 | $3,458.56 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
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 | $1,602.50 | $1,602.50 | $8,500.00 | |
Medica
| Facility | $1,503.97 | $2,020.29 | $3,458.56 | |
United
| Facility | $681.00 | $681.00 | $681.00 |