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New Hampshire rates for MS-DRG 489

Knee procedures without principal diagnosis of infection without CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,061.95 / $14,810.68 / $26,836.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,030.17 / $23,047.98 / $137,654.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,458.29 / $16,145.58 / $25,385.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,149.20 / $13,149.20 / $22,883.23