go back

New Hampshire rates for MS-DRG 734

Pelvic evisceration, rad hysterectomy & rad vulvectomy w CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,271.75 / $24,763.89 / $45,567.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,863.56 / $33,911.73 / $43,957.92
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,902.06 / $30,793.41 / $45,239.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,078.62 / $25,078.62 / $43,643.70