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New Mexico rates for MS-DRG 623

Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,969.50 / $30,063.80 / $41,589.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $11,535.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,315.62 / $15,634.74 / $29,000.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,315.62 / $16,145.10 / $29,000.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $23,195.00 / $31,027.29