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New Hampshire rates for MS-DRG 121

Circ Disor W Ami & Maj Comp Disch Alive

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,297.59 / $13,697.52 / $25,206.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,671.54 / $23,229.00 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,008.74 / $16,817.83 / $24,707.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,696.69 / $13,696.69 / $23,836.02