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New Hampshire rates for MS-DRG 620

O.R. Procedures For Obesity With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,967.32 / $43,311.32 / $43,311.32
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,839.15 / $16,839.15 / $16,839.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,099.64 / $19,668.14 / $36,291.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,182.98 / $31,098.00 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,114.66 / $23,135.54 / $33,988.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,841.93 / $18,841.93 / $32,790.15