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New Hampshire rates for MS-DRG 623

Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,021.80 / $21,404.23 / $41,450.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,624.67 / $31,098.00 / $37,021.65
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,116.00 / $25,934.41 / $39,227.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,121.38 / $21,121.38 / $36,757.01