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New Hampshire rates for MS-DRG 101

Seizures without MCC

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,249.43 / $10,249.43 / $17,797.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,783.20 / $11,026.19 / $19,973.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,383.59 / $18,922.56 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,722.94 / $13,048.89 / $19,170.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,627.21 / $10,627.21 / $18,494.27