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New Mexico rates for HCPCS 43205

Esophagoscopy, flexible, transoral; with band ligation of esophageal varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,145.78 / $7,838.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.43 / $3,062.18 / $4,875.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.47 / $158.47 / $1,023.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.13 / $245.03 / $349.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $5,060.00