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New Mexico rates for MS-DRG 090

Concussion Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,116.00 / $13,795.90 / $19,085.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $4,561.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,192.60 / $7,174.60 / $13,307.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,192.60 / $7,174.60 / $13,307.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,869.04 / $9,182.79 / $14,238.07