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New Hampshire rates for MS-DRG 241

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,933.71 / $17,966.93 / $32,719.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,460.05 / $29,023.25 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,000.44 / $20,014.27 / $30,943.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,299.93 / $16,299.93 / $28,366.36