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New Mexico rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,542.50 / $11,873.70 / $16,425.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $2,100.00 / $3,365.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,469.10 / $6,174.93 / $11,453.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,469.10 / $6,174.93 / $11,453.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,329.95 / $7,903.32 / $12,254.22