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New Hampshire rates for MS-DRG 594

Skin ulcers without CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,381.93 / $10,551.88 / $18,391.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,932.08 / $18,172.03 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,032.00 / $12,531.33 / $18,409.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,205.70 / $10,205.70 / $17,760.73