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Illinois rates for HCPCS 43640

Vgtmy W/Pylorplsty W/Wo Gastrost Truncal/Slctv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,257.38 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.92 / $1,273.76 / $2,225.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,466.20 / $14,095.28 / $28,225.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.27 / $1,755.50 / $2,191.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $1,357.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.67 / $1,732.20 / $2,577.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.24 / $1,997.79 / $5,063.89
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.68 / $1,552.75 / $1,745.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,974.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $2,873.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.90 / $1,597.27 / $2,803.57