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New Hampshire rates for MS-DRG 157

Dental and oral diseases with MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,975.97 / $18,323.62 / $35,484.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,652.28 / $26,912.00 / $35,430.49
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,497.99 / $24,819.78 / $36,463.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,213.59 / $20,213.59 / $35,177.23