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Michigan rates for HCPCS 43497

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.27 / $2,877.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,084.25 / $9,143.52 / $21,924.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.67 / $2,877.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $5,819.00 / $7,355.00