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New Mexico rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,765.00 / $22,674.80 / $31,368.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $5,121.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.49 / $11,792.07 / $21,872.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,534.49 / $11,792.07 / $21,872.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $15,092.72 / $23,401.49