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New Hampshire rates for MS-DRG 558

Tendonitis, Myositis And Bursitis Without Mcc

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,653.36 / $9,653.36 / $9,653.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,734.43 / $10,739.62 / $18,718.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,265.04 / $18,725.49 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,175.87 / $12,912.99 / $18,970.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,516.54 / $10,516.54 / $18,301.66