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New Hampshire rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,579.66 / $12,885.42 / $23,600.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,665.10 / $22,360.75 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,308.33 / $15,664.16 / $23,012.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,757.13 / $12,757.13 / $22,200.92