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Illinois rates for HCPCS 42955

Pharyngostomy (fistulization of pharynx, external for feeding)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,187.76 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,344.23 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,288.25 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $977.24 / $1,659.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,348.96 / $3,715.35
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $933.25 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,238.72 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,548.82