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Illinois rates for HCPCS 43881

Impltj/Rplcmt Gastric Nstim Eltrde Antrum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.75 / $2,989.00 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $697.19 / $1,171.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $785.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.36 / $1,098.94 / $1,553.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.97 / $2,132.73 / $3,654.42
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
$1,557.60 / $1,584.31 / $1,785.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
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
$640.51 / $1,348.22 / $2,558.02