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New Hampshire rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,232.07 / $9,495.67 / $15,146.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,935.60 / $14,853.35 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,243.11 / $10,242.78 / $14,968.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,341.87 / $8,341.87 / $14,517.17