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Illinois rates for HCPCS 43825

Gastrojejunostomy; with vagotomy, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.00 / $2,513.30 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.33 / $1,381.57 / $2,513.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,121.74 / $15,524.24 / $31,087.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.29 / $1,932.84 / $2,412.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $1,494.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.45 / $1,892.77 / $2,855.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.60 / $2,197.06 / $6,442.90
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
$1,487.38 / $1,709.60 / $1,922.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,173.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $2,873.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.92 / $1,780.17 / $3,072.06