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New Mexico rates for MS-DRG 257

Upper limb & toe amputation for circ system disorders w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,461.00 / $18,304.09 / $25,321.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $7,889.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,889.41 / $9,519.07 / $17,656.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,889.41 / $9,519.07 / $17,656.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,133.34 / $12,864.02 / $18,890.68