There have been ups and downs, but historically insurers have considered bariatric surgery to be a cosmetic procedure. That's not so much the case now, but you, the provider - and the patient - have to jump through more hoops than usual to secure coverage and reimbursement. Here's a look at the ins and outs of the insurance game, and what it takes to get reimbursed for bariatric procedures, which typically cost $30,000 to $40,000 and can get up to $100,000 if there are complications.