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New Mexico rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,908.50 / $13,100.40 / $18,122.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $2,757.30 / $4,238.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,930.83 / $6,812.91 / $12,636.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,930.83 / $6,812.91 / $12,636.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,673.99 / $9,697.17 / $13,520.28