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New Mexico rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,365.50 / $61,557.20 / $85,157.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $19,724.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,169.29 / $32,012.90 / $59,379.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,169.29 / $32,012.90 / $59,379.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $40,973.43 / $63,529.94