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New Hampshire rates for MS-DRG 076

Viral meningitis w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,052.32 / $11,399.81 / $19,869.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,407.42 / $17,299.91 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,482.24 / $11,929.92 / $18,791.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,715.90 / $9,715.90 / $16,908.34