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New Hampshire rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,493.92 / $18,561.15 / $35,716.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,708.64 / $30,166.00 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,246.57 / $21,445.51 / $33,777.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,465.55 / $17,465.55 / $30,394.87