go back

New Hampshire rates for MS-DRG 239

Amputation for circ sys disorders exc upper limb & toe w MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,668.90 / $55,537.13 / $109,149.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $53,016.55 / $101,571.68
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,670.47 / $71,153.02 / $104,531.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,948.10 / $57,948.10 / $100,845.63