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New Mexico rates for MS-DRG 414

Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,813.00 / $59,705.30 / $82,595.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $15,765.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,472.28 / $31,049.84 / $57,592.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,472.28 / $32,063.40 / $57,592.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $44,618.35 / $61,618.73