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New Hampshire rates for MS-DRG 563

Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,801.99 / $8,801.99 / $8,801.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,757.23 / $10,914.20 / $19,368.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,294.05 / $18,773.71 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,458.87 / $12,946.24 / $19,019.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,543.62 / $10,543.62 / $18,348.80