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Illinois rates for HCPCS 43496

Free jejunum transfer with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $3,073.00 / $6,038.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.92 / $2,193.33 / $3,456.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $2,354.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.60 / $3,071.91 / $4,323.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.21 / $3,721.43 / $9,457.26
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
$2,687.70 / $2,949.12 / $3,049.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
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
$1,989.56 / $2,648.38 / $4,595.85