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New Mexico rates for MS-DRG 415

Cholecystectomy except by laparoscope w/o c.d.e. w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,333.50 / $34,635.69 / $47,914.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $11,792.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,036.39 / $18,012.32 / $33,410.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,036.39 / $18,600.30 / $33,410.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $23,054.04 / $35,745.64