go back

New Hampshire rates for MS-DRG 574

Skin graft for skin ulcer or cellulitis w CC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,253.13 / $37,764.28 / $75,084.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $37,393.92 / $71,641.09
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,793.39 / $50,186.03 / $73,729.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,872.26 / $40,872.26 / $71,128.99