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New Mexico rates for HCPCS 0654T

Egd Flexible Transnasal W/Insj Intral Tube/Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.18 / $135.44 / $145.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.60 / $163.60 / $2,222.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.76 / $679.76 / $679.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $220.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.02 / $138.49 / $194.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.17 / $211.57 / $290.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $3,085.00 / $5,262.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.69 / $213.10 / $300.76