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New Hampshire rates for MS-DRG 538

Sprains, strains, & dislocations of hip, pelvis & thigh w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,680.98 / $9,621.40 / $15,295.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,084.42 / $15,100.73 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,355.75 / $10,413.37 / $15,238.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,480.81 / $8,480.81 / $14,758.95