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New Mexico rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,295.00 / $68,024.50 / $94,103.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $15,916.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,603.48 / $36,531.00 / $65,617.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,655.21 / $35,376.21 / $65,617.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,036.00 / $27,682.38 / $70,204.46