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New Mexico rates for MS-DRG 693

Urinary stones w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,722.50 / $22,532.40 / $31,170.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $5,839.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,480.87 / $11,717.99 / $21,735.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,480.87 / $12,100.50 / $21,735.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $14,997.90 / $23,254.47