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New Hampshire rates for MS-DRG 693

Urinary stones w MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,856.74 / $15,188.68 / $31,863.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,956.83 / $23,886.00 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,601.75 / $19,437.43 / $30,133.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,830.14 / $15,830.14 / $27,548.81