go back

New Hampshire rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,792.37 / $10,811.73 / $18,844.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,780.74 / $17,920.45 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,230.76 / $12,357.84 / $18,155.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,064.42 / $10,064.42 / $17,514.84