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New Mexico rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,811.00 / $32,884.40 / $45,491.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $10,429.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,377.22 / $17,101.55 / $31,720.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,377.22 / $17,659.80 / $31,720.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $21,888.34 / $33,938.21