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New Mexico rates for MS-DRG 157

Dental & Oral Diseases w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,584.00 / $28,771.70 / $39,802.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $5,321.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,829.28 / $14,962.77 / $27,753.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,829.28 / $14,962.77 / $27,753.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $19,150.90 / $29,693.77