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New Mexico rates for MS-DRG 178

Uncomplicated Peptic Ulcer W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,880.00 / $16,356.70 / $22,627.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $10,219.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,156.44 / $8,506.33 / $15,778.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,156.44 / $8,784.00 / $15,778.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,587.20 / $10,887.28 / $16,880.90