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New Hampshire rates for MS-DRG 604

Trauma to the skin, subcutaneous tissue and breast with MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,409.87 / $16,889.34 / $32,195.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,566.13 / $23,886.00 / $30,380.49
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,062.15 / $21,282.15 / $31,265.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,332.50 / $17,332.50 / $30,163.33