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New Mexico rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,218.10 / $20,892.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $6,918.31 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $7,943.28 / $14,791.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $7,943.28 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,232.93 / $16,218.10