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New Hampshire rates for MS-DRG 577

Skin graft exc for skin ulcer or cellulitis w CC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $39,810.72 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $35,481.34 / $54,954.09
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $47,863.01 / $50,118.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $30,902.95 / $56,234.13