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New Hampshire rates for MS-DRG 057

Degenerative nervous system disorders w/o MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,824.62 / $14,931.93 / $28,916.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,340.11 / $23,886.00 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,632.94 / $18,730.49 / $27,517.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,254.39 / $15,254.39 / $26,546.84