go back

New Hampshire rates for MS-DRG 700

Other kidney & urinary tract diagnoses w/o CC/MCC

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,679.11 / $13,679.11 / $13,679.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,559.15 / $9,822.77 / $15,348.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,701.02 / $14,463.41 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,569.66 / $9,973.87 / $14,652.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,122.88 / $8,122.88 / $14,136.05