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New Mexico rates for MS-DRG 103

Headaches Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,181.50 / $14,015.50 / $19,388.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $2,315.60 / $3,651.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,275.24 / $7,288.77 / $13,519.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,275.24 / $7,288.77 / $13,519.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,930.61 / $10,550.98 / $14,464.64