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Virginia rates for HCPCS 43497

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

Facilitymedian $1,380 · 10th–90th $851–$8,9130%10%10th90th$1,380Professionalmedian $832 · 10th–90th $692–$1,1480%20%10th90th$832$500.0$1.0K$2.0K$5.0K$10.0K$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
$912.01 / $3,801.89 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,760.83 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $524.81 / $1,318.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $831.76 / $1,148.15
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $954.99 / $1,548.82
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,023.29 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $5,495.41 / $12,882.50