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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
$862.82 / $3,119.00 / $16,891.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $7,344.00 / $10,382.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,015.81 / $2,355.63 / $3,613.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.86 / $881.60 / $1,322.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.40 / $993.78 / $8,103.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.86 / $900.32 / $1,322.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.66 / $1,859.20 / $2,676.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.93 / $5,492.82 / $5,492.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $7,280.00 / $8,384.00