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New Mexico rates for MS-DRG 574

Skin graft for skin ulcer or cellulitis w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,357.00 / $58,176.90 / $80,480.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $18,955.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,897.00 / $30,254.99 / $56,118.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,897.00 / $30,254.99 / $56,118.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $40,886.44 / $60,041.33