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New Hampshire rates for MS-DRG 012

Acute Major Eye Infections with CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,131.91 / $44,424.25 / $88,927.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,172.19 / $88,386.33 / $143,208.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,838.68 / $60,950.71 / $89,543.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,639.18 / $49,639.18 / $86,385.84