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New Hampshire rates for MS-DRG 684

Renal Failure Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $9,772.37 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $12,302.69 / $28,840.32
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $10,964.78 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $12,589.25