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Illinois rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $2,442.59 / $5,493.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.85 / $1,379.54 / $2,442.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,936.88 / $15,121.28 / $30,280.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.97 / $1,879.74 / $2,346.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $1,455.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.39 / $1,891.71 / $2,779.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.09 / $2,229.06 / $5,980.35
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
$1,452.63 / $1,662.92 / $1,869.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,114.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,889.00 / $12,796.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.97 / $1,726.53 / $2,956.05