| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $2,657.03 | $5,566.64 | $9,798.23 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $2,657.03 | $5,566.64 | $9,798.23 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |