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New Hampshire rates for MS-DRG 240

Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,168.00 / $32,569.60 / $63,107.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $35,762.00 / $58,827.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,562.08 / $41,209.68 / $60,541.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,561.79 / $33,561.79 / $58,406.75