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Illinois rates for HCPCS 43284

Laps Esophgl Sphnctr Agmntj Plmt Dev Crrpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.00 / $2,989.00 / $7,123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.44 / $700.86 / $1,240.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,503.66 / $12,443.89 / $17,690.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.76 / $959.37 / $1,197.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $13,655.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.49 / $979.23 / $1,442.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.55 / $1,142.44 / $3,299.04
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
$747.75 / $848.67 / $954.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,078.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $6,920.00 / $16,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.36 / $925.78 / $1,496.70