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New Mexico rates for MS-DRG 622

Skin grafts & wound debrid for endoc, nutrit & metab dis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,796.00 / $59,648.30 / $82,516.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $21,334.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,450.83 / $31,020.21 / $57,538.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,450.83 / $32,032.80 / $57,538.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $39,702.87 / $61,559.92