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New Hampshire rates for MS-DRG 139

Salivary gland procedures

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,563.56 / $14,693.05 / $29,752.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,584.65 / $25,905.83 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,700.70 / $17,864.50 / $28,137.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,549.13 / $14,549.13 / $25,319.49