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New Hampshire rates for MS-DRG 502

Soft Tissue Procedures Without Cc/Mcc

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,759.37 / $13,759.37 / $13,759.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,393.93 / $15,634.66 / $30,277.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,974.49 / $28,216.12 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,223.55 / $19,457.68 / $28,633.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,846.63 / $15,846.63 / $27,577.49