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New Hampshire rates for MS-DRG 399

Appendix Procedures Without Cc/Mcc

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,234.13 / $12,234.13 / $12,234.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,436.96 / $23,998.06 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,639.61 / $16,548.93 / $24,312.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,477.70 / $13,477.70 / $23,454.90