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New Hampshire rates for MS-DRG 123

Neurological eye disorders

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,997.24 / $10,273.86 / $17,405.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,071.94 / $16,742.25 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,602.29 / $11,545.36 / $16,961.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,402.71 / $9,402.71 / $16,363.31