go back

New Mexico rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,246.00 / $41,045.90 / $56,782.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $2,526.30 / $3,931.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,449.14 / $22,042.80 / $39,593.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,462.91 / $21,346.00 / $39,593.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.00 / $16,703.54 / $42,361.36