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New Mexico rates for MS-DRG 023

Coronary Bypass with PTCA with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,651.50 / $96,033.60 / $132,851.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $39,352.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,145.76 / $49,942.43 / $92,636.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,145.76 / $49,942.43 / $92,636.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $63,921.50 / $99,111.27