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New Hampshire rates for MS-DRG 004

Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,561.31 / $128,528.49 / $273,664.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92,634.00 / $149,207.28 / $285,858.53
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133,731.94 / $200,249.69 / $294,189.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163,086.38 / $163,086.38 / $283,815.19