go back

New Hampshire rates for MS-DRG 639

Diabetes Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $10,000.00 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $12,882.50 / $28,840.32
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $11,481.54 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $13,182.57