go back

New Mexico rates for MS-DRG 842

Lymphoma & non-acute leukemia w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,052.00 / $16,933.20 / $23,425.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $10,649.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,373.43 / $8,806.14 / $16,334.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,373.43 / $9,093.60 / $16,334.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,748.88 / $11,271.01 / $17,475.88