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New Mexico rates for MS-DRG 575

Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $32,359.37 / $41,686.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $12,589.25 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $15,488.17 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $15,488.17 / $28,840.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $19,952.62 / $31,622.78