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Illinois rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $4,365.16 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $26,915.35 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $588.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $4,365.16 / $12,302.69
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
$575.44 / $2,818.38 / $7,413.10