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New Hampshire rates for MS-DRG 055

Septic Arthritis without CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,470.58 / $12,699.99 / $23,641.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,859.20 / $21,375.40 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,311.20 / $14,740.36 / $22,358.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,004.77 / $12,004.77 / $20,891.59