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New Hampshire rates for MS-DRG 038

Complicated Peptic Ulcer with MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,568.62 / $18,676.31 / $34,916.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,464.23 / $31,098.00 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,249.06 / $23,457.93 / $34,462.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,104.49 / $19,104.49 / $33,247.07