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Illinois rates for HCPCS 43400

Ligation Direct Esophageal Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,925.46 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.48 / $1,645.69 / $2,925.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,275.18 / $18,038.56 / $36,122.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $1,734.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.74 / $2,195.35 / $3,320.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.82 / $2,536.51 / $6,576.65
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
$1,721.38 / $1,983.20 / $2,229.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,521.23
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
$1,486.60 / $2,053.36 / $3,491.11