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New Mexico rates for HCPCS 43250

Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps

Facilitymedian $562 · 10th–90th $204–$4,8980%5%10%10th90th$562Professionalmedian $295 · 10th–90th $166–$6920%10%10th90th$295$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $776.25 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $338.84 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $2,754.23 / $4,786.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $234.42 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $309.03 / $741.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $616.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $323.59 / $741.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $354.81 / $912.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $3,630.78 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $316.23 / $776.25