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New Hampshire rates for MS-DRG 178

Uncomplicated Peptic Ulcer W/O Cc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,944.73 / $13,292.77 / $21,498.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,309.31 / $20,461.34 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,390.23 / $14,110.03 / $20,729.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,491.42 / $11,491.42 / $19,998.24