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New Hampshire rates for MS-DRG 089

Alcohol, Drug Abuse or Dependence, Left Against Medical Advice

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,589.71 / $12,902.51 / $23,232.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,855.54 / $22,664.12 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,147.43 / $15,882.46 / $23,333.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,934.92 / $12,934.92 / $22,510.31