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New Hampshire rates for MS-DRG 578

Skin graft exc for skin ulcer or cellulitis w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,131.64 / $18,915.57 / $36,630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,259.91 / $31,098.00 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,998.69 / $23,223.72 / $34,642.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,913.75 / $18,913.75 / $32,915.14