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Illinois rates for HCPCS 43633

Gstrct Prtl Dstl W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $3,693.65 / $7,407.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,414.12 / $22,701.12 / $45,458.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $2,193.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.92 / $3,179.42 / $7,827.56
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