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Wisconsin rates for HCPCS 43497

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $15,848.93 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $3,715.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $954.99 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $8,128.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,659.59 / $2,511.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11