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New Hampshire rates for MS-DRG 735

Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,711.45 / $15,494.65 / $26,305.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,969.45 / $28,207.73 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,488.62 / $19,451.89 / $27,544.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,841.92 / $15,841.92 / $27,569.30