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New Hampshire rates for MS-DRG 675

Other Kidney And Urinary Tract Procedures Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,037.12 / $19,461.37 / $33,920.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,701.34 / $31,098.00 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,814.62 / $23,729.72 / $34,861.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,325.84 / $19,325.84 / $33,632.29