go back

New Hampshire rates for MS-DRG 696

Kidney & urinary tract signs & symptoms w/o MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $11,220.18 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $14,125.38 / $28,840.32
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $12,589.25 / $13,182.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $14,454.40