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New Hampshire rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,155.96 / $25,251.35 / $48,900.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,652.07 / $35,668.00 / $48,520.87
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,358.72 / $33,989.85 / $49,935.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,681.85 / $27,681.85 / $48,174.04