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New Mexico rates for HCPCS 0652T

Esophagogastroduodenoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.48 / $292.06 / $306.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.80 / $363.80 / $1,023.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.12 / $1,428.12 / $1,428.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $432.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.30 / $285.70 / $365.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.50 / $294.17 / $581.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.20 / $469.26 / $634.37