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Kentucky rates for HCPCS 43497

Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM])

Facilitymedian $3,631 · 10th–90th $1,318–$8,5110%5%10th90th$3,631$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $2,290.87 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,801.89 / $8,511.38
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $831.76 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $1,318.26 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $3,388.44 / $6,456.54