go back

New Mexico rates for MS-DRG 125

Other disorders of the eye w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,839.00 / $12,867.50 / $17,800.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $2,120.30 / $3,391.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,843.14 / $6,691.76 / $12,412.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,843.14 / $6,691.76 / $12,412.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,608.66 / $8,564.81 / $13,279.87