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Illinois rates for HCPCS 43631

Gastrectomy, partial, distal; with gastroduodenostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $3,090.30 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $16,982.44 / $33,113.11
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
$1,584.89 / $2,754.23 / $5,754.40
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