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New Hampshire rates for MS-DRG 494

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,881.28 / $23,822.53 / $39,585.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,614.02 / $31,098.00 / $41,394.10
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,846.25 / $29,007.97 / $42,616.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,624.53 / $24,045.44 / $41,113.19