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New Hampshire rates for MS-DRG 659

Kidney and ureter procedures for non-neoplasm with MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,321.39 / $29,521.93 / $56,001.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $35,668.00 / $52,437.87
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,459.45 / $36,733.79 / $53,966.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,916.56 / $29,916.56 / $52,063.04