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New Hampshire rates for MS-DRG 573

Skin Graft For Skin Ulcer Or Cellulitis With Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,544.87 / $63,826.28 / $133,448.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $70,571.67 / $135,204.65
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,283.58 / $94,713.59 / $139,145.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,136.17 / $77,136.17 / $134,238.19