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New Hampshire rates for MS-DRG 699

Other kidney & urinary tract diagnoses w CC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $15,135.61 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $20,892.96 / $28,840.32
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $18,620.87 / $19,498.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $21,379.62