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New Hampshire rates for MS-DRG 617

Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,975.30 / $22,732.54 / $41,857.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,588.22 / $31,098.00 / $38,598.35
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,288.27 / $27,038.93 / $39,723.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,020.91 / $22,020.91 / $38,322.44