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New Hampshire rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Facilitymedian $54,954 · 10th–90th $30,903$83,1760%10%20%10th90th$54,954$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $54,954.09 / $89,125.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $47,863.01 / $75,857.76
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $69,183.10 / $72,443.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $77,624.71