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New Mexico rates for HCPCS 43255

Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method

Facilitymedian $759 · 10th–90th $269–$4,3650%5%10%10th90th$759Professionalmedian $363 · 10th–90th $195–$1,0720%5%10%10th90th$363$20.0$100.0$500.0$2.0K

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
$288.40 / $912.01 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $363.08 / $1,071.52
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $213.80
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
$239.88 / $281.84 / $707.95
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
$234.42 / $436.52 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $851.14
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $446.68 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $457.09 / $1,230.27
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
$239.88 / $426.58 / $1,202.26