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New Mexico rates for HCPCS 43251

Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

Facilitymedian $724 · 10th–90th $257–$3,8020%5%10%10th90th$724Professionalmedian $380 · 10th–90th $186–$8910%5%10%10th90th$380$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
$281.84 / $954.99 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $398.11 / $1,047.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $2,818.38 / $4,786.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $269.15 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $354.81 / $812.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $676.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $380.19 / $831.76
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $389.05 / $1,000.00
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
$223.87 / $363.08 / $870.96