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Maine rates for HCPCS 43497

Transoral Lower Esophageal Myotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,603.83 / $6,603.83 / $6,603.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $890.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,603.83 / $6,603.83 / $6,603.83