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New Hampshire rates for MS-DRG 256

Upper Limb And Toe Amputation For Circulatory System Disorders With Cc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,469.50 / $18,952.50 / $36,702.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,413.91 / $31,098.00 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,029.92 / $24,546.54 / $36,061.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,991.07 / $19,991.07 / $34,789.97