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Illinois rates for HCPCS 43774

Laps Gastric Restrictive Px Remove Device & Port

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.99 / $2,157.00 / $8,985.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,219.83 / $7,019.67 / $20,076.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $875.00 / $3,649.95
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$107.75 / $107.75 / $107.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.22 / $1,657.28 / $5,446.77
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
$2,276.00 / $8,100.00 / $25,839.00