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Illinois rates for HCPCS 43122

Prtl Esophg Thoracoabd W/Wo Proxgastrec/Pyloropl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $4,200.00 / $5,580.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,346.46 / $2,726.61 / $4,911.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,710.49 / $29,886.64 / $59,847.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,146.09 / $3,758.60 / $4,600.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $2,910.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.87 / $3,738.19 / $5,610.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,817.61 / $4,354.47 / $10,649.63
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
$2,887.22 / $3,329.90 / $3,738.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,227.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $2,873.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,549.78 / $3,489.17 / $6,026.95