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New Hampshire rates for MS-DRG 928

Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,597.00 / $75,076.81 / $142,043.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $77,264.32 / $148,026.74
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,212.00 / $103,695.72 / $151,555.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84,451.37 / $84,451.37 / $146,968.62