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New Mexico rates for HCPCS 43253

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $1,548.82 / $8,709.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,128.61 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$354.81 / $354.81 / $354.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $316.23 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $3,467.37 / $8,317.64