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New Hampshire rates for MS-DRG 096

Other Multiple Significant Trauma with MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,090.88 / $26,824.66 / $51,947.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,485.00 / $29,291.00 / $53,228.29
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,687.61 / $37,287.49 / $54,395.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,367.50 / $30,367.50 / $52,847.81