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Illinois rates for HCPCS 43631

Gstrct Prtl Dstl W/Gastroduodenostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,779.70 / $5,430.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,823.52 / $17,054.00 / $34,150.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $1,651.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.87 / $2,469.44 / $5,082.72
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