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New Mexico rates for HCPCS 0654T

Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $5,011.87 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $138.04 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $69,183.10 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $70.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $144.54 / $245.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $3,467.37 / $16,982.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $208.93 / $295.12