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New Mexico rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,674.50 / $25,723.30 / $35,585.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $6,439.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,681.89 / $13,377.42 / $24,813.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,681.89 / $13,377.42 / $24,813.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $17,121.81 / $26,547.63