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Oregon rates for HCPCS 43497

Transoral Lower Esophageal Myotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.00 / $5,318.00 / $20,380.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,375.60 / $4,375.60 / $4,375.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.78 / $1,645.01 / $2,016.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.79 / $1,274.63 / $2,566.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.56 / $1,526.11 / $1,573.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.65 / $1,696.50 / $2,566.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,838.85 / $11,673.27 / $21,335.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.00 / $8,090.00 / $12,786.00