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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
$7,931.84 / $13,569.23 / $24,439.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,425.61 / $23,224.40 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,673.68 / $16,535.91 / $24,293.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,467.10 / $13,467.10 / $23,436.46