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New Hampshire rates for MS-DRG 622

Skin grafts & wound debrid for endoc, nutrit & metab dis w MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,676.19 / $41,872.98 / $81,089.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $38,339.69 / $73,453.06
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,436.96 / $51,455.35 / $76,733.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,906.01 / $41,906.01 / $72,928.00