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New Mexico rates for HCPCS 43204

Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices

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
$130.08 / $143.69 / $209.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.61 / $151.61 / $1,023.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.62 / $257.06 / $398.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $207.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.39 / $236.02 / $345.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.47 / $268.23 / $380.13
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
$161.86 / $273.00 / $386.65