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New Hampshire rates for HCPCS 43497

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,677.35 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $5,495.41
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $4,265.80 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $4,265.80 / $9,549.93
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $794.33 / $977.24