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Washington rates for HCPCS 43497

Transoral Lower Esophageal Myotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.29 / $6,259.76 / $22,024.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,127.04 / $21,825.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $714.97 / $947.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.82 / $1,745.37 / $3,135.90
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.58 / $1,526.11 / $1,573.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.02 / $1,060.02 / $1,073.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,998.47 / $15,760.58 / $30,895.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $2,038.00 / $10,522.00