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New Hampshire rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,090.06 / $21,532.91 / $41,699.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,811.00 / $26,912.00 / $40,494.94
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,213.50 / $28,367.53 / $41,675.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,102.94 / $23,102.94 / $40,205.48