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New Mexico rates for MS-DRG 155

Other Ear, Nose, Mouth And Throat Diagnoses With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,582.50 / $15,359.50 / $21,248.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $4,616.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,781.13 / $7,987.76 / $14,816.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,781.13 / $8,248.50 / $14,816.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,307.55 / $10,223.56 / $15,851.78