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Pennsylvania rates for HCPCS 43497

Transoral Lower Esophageal Myotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.03 / $2,827.10 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,269.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.52 / $1,737.52 / $1,737.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,179.02 / $12,573.88 / $32,246.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,389.00 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,269.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.01 / $772.01 / $863.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.00 / $2,715.00 / $4,815.00