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Illinois rates for HCPCS 43313

Esphgp Cgen Dfct Thrc Appr W/O Rpr Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $4,200.00 / $6,364.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,586.30 / $3,091.61 / $5,265.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,718.49 / $34,263.76 / $68,613.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,177.57 / $3,931.74 / $5,406.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $3,301.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,760.68 / $4,244.74 / $6,330.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,194.73 / $4,937.31 / $22,223.13
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
$3,281.16 / $3,775.59 / $4,244.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,799.81
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
$2,723.14 / $3,790.29 / $6,306.99