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Illinois rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $3,869.44 / $5,549.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,294.16 / $26,799.28 / $53,665.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $2,589.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,297.84 / $3,757.45 / $10,838.01
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $2,873.00 / $6,625.00