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Texas rates for HCPCS 43497

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

Facilitymedian $2,884 · 10th–90th $759–$7,9430%5%10th90th$2,884$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $2,951.21 / $7,413.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $5,128.61 / $10,232.93
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $6,025.60 / $7,943.28
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $7,943.28 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $891.25 / $6,606.93
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $15,848.93
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,000.00 / $3,311.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $933.25 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $4,073.80 / $7,413.10