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New Hampshire rates for MS-DRG 125

Other Disorders Of The Eye Without Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,502.23 / $10,378.29 / $17,892.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,683.49 / $16,096.54 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,764.76 / $11,100.08 / $16,922.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,040.08 / $9,040.08 / $15,732.22