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Texas rates for HCPCS 43497

Transoral Lower Esophageal Myotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.35 / $2,562.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,010.46 / $4,954.72 / $10,034.87
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $5,724.94 / $7,825.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.62 / $704.62 / $715.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.93 / $5,315.00 / $9,352.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $5,356.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.27 / $846.05 / $1,793.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.46 / $869.12 / $2,018.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.00 / $3,239.00 / $7,600.00