go back

New Hampshire rates for MS-DRG 373

Major gastrointestinal disorders & peritoneal infections w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,809.00 / $9,820.89 / $15,719.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,173.96 / $15,249.58 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,864.96 / $10,516.02 / $15,449.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,564.41 / $8,564.41 / $14,904.43