| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $1,862.09 | $2,398.83 | $3,630.78 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |
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 | $2,137.96 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $1,862.09 | $2,398.83 | $3,630.78 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |