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New Mexico rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,424.50 / $18,181.80 / $25,152.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $5,530.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,843.36 / $9,455.45 / $17,538.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,655.28 / $9,455.45 / $17,538.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,099.03 / $12,102.06 / $18,764.43