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New Hampshire rates for MS-DRG 576

Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,351.33 / $58,397.28 / $116,916.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $52,795.73 / $101,148.61
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,908.22 / $70,856.64 / $110,568.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,706.73 / $57,706.73 / $100,425.59