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New Hampshire rates for MS-DRG 100

Seizures With Mcc

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,245.03 / $20,245.03 / $20,245.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,026.48 / $22,145.02 / $43,021.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,811.00 / $26,912.00 / $39,970.75
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,789.91 / $28,000.32 / $41,135.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,803.88 / $22,803.88 / $39,685.03