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New Hampshire rates for MS-DRG 136

Sinus and mastoid procedures without CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,833.42 / $13,762.70 / $21,197.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,804.96 / $21,285.26 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,258.66 / $14,678.19 / $21,563.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,954.14 / $11,954.14 / $20,803.50