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Montana rates for HCPCS 43497

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.09 / $1,235.09 / $1,235.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.85 / $796.73 / $1,584.27