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New Hampshire rates for MS-DRG 382

Complicated peptic ulcer without CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,000.39 / $10,039.58 / $16,237.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,097.17 / $16,784.18 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,092.12 / $11,574.27 / $17,003.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,426.26 / $9,426.26 / $16,404.29