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New Hampshire rates for MS-DRG 255

Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc

Facilitymedian $40,738 · 10th–90th $22,387$60,2560%10%10th90th$40,738$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $40,738.03 / $66,069.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $35,481.34 / $56,234.13
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $50,118.72 / $52,480.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $31,622.78 / $57,543.99