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New Hampshire rates for MS-DRG 492

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,719.66 / $43,433.33 / $74,560.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $39,550.48 / $75,772.72
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,610.22 / $53,080.32 / $77,981.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,500.18 / $43,229.42 / $75,231.08