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New Hampshire rates for MS-DRG 393

Splenectomy Age 0-17

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,044.75 / $13,044.75 / $13,044.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,542.80 / $18,636.52 / $35,885.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,170.37 / $25,462.46 / $33,005.58
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,673.09 / $23,121.08 / $33,967.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,830.16 / $18,830.16 / $32,769.66