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Illinois rates for HCPCS 43845

Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $3,801.89 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $22,908.68 / $44,668.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $588.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $6,309.57 / $14,791.08
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
$575.44 / $2,818.38 / $7,413.10