CT, not sure what you are implying by saying this is a scam, but surely you must be aware that propofol is a general anesthesia medication and requires more careful monitoring than the usual conscious sedation. The medication cost does not determine the cost of a procedure, but the staff, facility and equipment does.
Sure, there may be some “upscaling” of procedures out there, particularly with PPO networks. Maybe that is a scam. I get my care through an HMO network, so everything is based on medically necessary and cost effective guidelines.
Jan