go back

New Mexico rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,431.00 / $14,851.80 / $20,545.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $5,172.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,590.00 / $7,723.68 / $14,326.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,590.00 / $7,723.68 / $14,326.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,165.14 / $9,885.56 / $15,327.72