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New Mexico rates for MS-DRG 058

Multiple sclerosis & cerebellar ataxia w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,547.50 / $28,649.40 / $39,633.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $7,694.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,783.24 / $14,899.15 / $27,635.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,783.24 / $15,154.24 / $27,635.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $19,069.47 / $29,567.51