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New Hampshire rates for MS-DRG 264

Skn Grft/Debrid,Skn Ulcr,Cellulit W/O Cc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,261.72 / $37,779.07 / $75,738.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $35,984.94 / $68,941.70
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,079.23 / $48,295.05 / $71,627.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,332.22 / $39,332.22 / $68,448.89