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New Mexico rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,929.00 / $13,169.20 / $18,218.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $1,768.20 / $3,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,956.68 / $6,848.64 / $12,703.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,956.68 / $6,848.64 / $12,703.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,693.26 / $8,765.60 / $13,591.20