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Illinois rates for HCPCS 43771

Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,884.03 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,380.38 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $15,135.61 / $28,840.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,862.09 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,778.28 / $2,818.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $3,715.35 / $6,918.31
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
$1,445.44 / $1,659.59 / $1,862.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,621.81 / $2,691.53