go back

New Hampshire rates for MS-DRG 616

Amputation of lower limb for endocrine, nutritional and metabolic disorders with MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,181.93 / $43,848.09 / $83,754.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $37,566.26 / $71,971.28
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,754.19 / $50,417.34 / $79,211.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,060.65 / $41,060.65 / $71,456.83