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New Hampshire rates for MS-DRG 084

Traumatic stupor & coma, coma >1 hr w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,890.61 / $11,116.33 / $20,718.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,054.55 / $20,037.87 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,048.54 / $13,818.00 / $20,300.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,253.59 / $11,253.59 / $19,584.34