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New Hampshire rates for MS-DRG 175

G.I. Hemorrhage W/O Cc

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,785.93 / $25,785.93 / $25,785.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,609.43 / $17,245.79 / $30,535.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,323.84 / $23,886.00 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,337.13 / $19,858.14 / $29,173.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,172.77 / $16,172.77 / $28,145.06