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New Hampshire rates for MS-DRG 696

Kidney and urinary tract signs and symptoms without MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,452.62 / $9,742.75 / $15,223.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,689.67 / $14,444.54 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,546.94 / $9,960.87 / $14,633.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,112.29 / $8,112.29 / $14,117.61