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New Hampshire rates for MS-DRG 058

Other Skin, Subcutaneous Tissue and Breast Procedures with CC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,110.31 / $20,587.53 / $40,000.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,560.21 / $26,912.00 / $35,279.83
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,288.16 / $24,714.24 / $37,827.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,127.65 / $20,127.65 / $35,027.66