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New Hampshire rates for MS-DRG 137

Mouth Procedures With Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $22,387.21 / $36,307.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $30,902.95 / $35,481.34
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $25,118.86 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $31,622.78