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New Mexico rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,868.00 / $23,020.10 / $31,845.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $17,821.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,664.44 / $11,971.61 / $22,205.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,664.44 / $12,362.40 / $22,205.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $15,322.51 / $23,757.79