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New Hampshire rates for MS-DRG 122

Circ Disor W Ami Wo Maj Comp Disch Alive

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,232.07 / $9,676.12 / $15,119.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,910.51 / $16,473.90 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,420.11 / $11,210.26 / $15,848.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,252.01 / $9,252.01 / $16,101.04