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New Mexico rates for MS-DRG 804

Other O.R. proc of the blood & blood forming organs w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $24,547.09 / $31,622.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $10,232.93 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $11,748.98 / $21,877.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $11,748.98 / $21,877.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $15,135.61 / $23,988.33