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New Mexico rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,417.50 / $18,158.30 / $25,119.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $6,383.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,834.53 / $9,443.24 / $17,515.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,834.53 / $9,751.50 / $17,515.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,092.45 / $12,086.44 / $18,740.22