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New Hampshire rates for MS-DRG 390

Gastrointestinal Obstruction Without Cc/Mcc

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,584.58 / $5,584.58 / $5,584.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,762.28 / $8,187.68 / $12,697.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,860.93 / $11,404.69 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,178.30 / $7,864.61 / $11,554.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,405.06 / $6,405.06 / $11,146.56