go back

New Hampshire rates for MS-DRG 258

Cardiac pacemaker device replacement w MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,911.79 / $35,094.00 / $58,904.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $35,762.00 / $64,845.15
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,553.11 / $45,425.34 / $63,662.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,995.08 / $36,995.08 / $64,381.63