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New Mexico rates for MS-DRG 255

Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,487.00 / $45,205.50 / $62,536.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $18,377.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,014.74 / $23,509.19 / $43,606.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,014.74 / $23,509.19 / $43,606.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $30,089.50 / $46,654.23