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Illinois rates for HCPCS 43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.00 / $4,976.10 / $18,910.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,055.50 / $13,200.00 / $26,433.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $1,264.70
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.14 / $123.14 / $123.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.11 / $1,950.64 / $8,907.60
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
$1,400.00 / $6,885.00 / $17,033.00