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New Hampshire rates for MS-DRG 152

Otitis media and URI with MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,597.00 / $13,081.11 / $24,591.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,909.91 / $23,535.00 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,739.94 / $17,091.07 / $25,108.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,919.22 / $13,919.22 / $24,223.28