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New Mexico rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,025.00 / $13,490.90 / $18,663.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $12,937.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,077.80 / $7,015.98 / $13,013.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,077.80 / $7,245.00 / $13,013.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,783.50 / $8,979.78 / $13,923.28