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New Hampshire rates for MS-DRG 142

Major head & neck procedures w/o CC/MCC

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,171.51 / $26,171.51 / $26,171.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,230.05 / $18,154.24 / $34,073.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,133.80 / $31,098.00 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,881.82 / $23,079.15 / $33,905.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,796.00 / $18,796.00 / $32,710.24