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New Hampshire rates for MS-DRG 695

Kidney & urinary tract signs & symptoms w MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $16,982.44 / $27,542.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $23,442.29 / $28,840.32
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $20,417.38 / $21,379.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $13,489.63 / $23,988.33