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Illinois rates for HCPCS 43772

Laps Gastric Restrictive Px Remove Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,265.00 / $5,393.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,957.39 / $7,376.61 / $19,775.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $1,083.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.67 / $1,657.57 / $5,397.04
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
$1,172.00 / $4,889.00 / $12,796.00