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Virginia rates for HCPCS 43497

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.60 / $4,796.00 / $10,343.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $925.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.90 / $892.74 / $1,101.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.61 / $1,034.53 / $1,489.90
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.46 / $1,041.90 / $1,817.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.00 / $5,815.00 / $12,680.00