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Illinois rates for HCPCS 43644

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $7,079.46 / $27,542.29
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$20,417.38 / $20,417.38 / $20,417.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $20,417.38 / $39,810.72
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
$1,905.46 / $3,981.07 / $10,471.29
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
$1,659.59 / $6,760.83 / $14,125.38