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New Mexico rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,443.60 / $107,151.93 / $138,038.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $44,668.36 / $100,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $53,703.18 / $95,499.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $53,703.18 / $95,499.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $66,069.34 / $104,712.85