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New Hampshire rates for MS-DRG 024

Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,805.15 / $43,229.21 / $82,382.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $42,138.99 / $80,731.91
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,980.25 / $56,554.34 / $83,084.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,058.71 / $46,058.71 / $80,154.83