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New Hampshire rates for MS-DRG 476

Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,249.56 / $13,626.73 / $25,204.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,884.68 / $24,742.30 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,007.80 / $17,062.15 / $25,066.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,895.67 / $13,895.67 / $24,182.30