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New Mexico rates for MS-DRG 583

Mastectomy for malignancy w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,622.00 / $28,899.10 / $39,978.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $6,269.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,877.22 / $15,029.01 / $27,876.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,272.64 / $15,029.01 / $27,876.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $19,235.68 / $29,825.22