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New Hampshire rates for MS-DRG 090

Concussion Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,641.98 / $10,658.81 / $18,577.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,382.20 / $17,257.98 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,113.40 / $11,901.00 / $17,568.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,692.36 / $9,692.36 / $16,867.37