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Pennsylvania rates for HCPCS 43497

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,890.45 / $8,511.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $794.33 / $1,318.26
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $14,454.40 / $26,915.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,818.38 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $870.96 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $2,951.21 / $17,782.79