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New Hampshire rates for MS-DRG 639

Diabetes Without Cc/Mcc

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,127.99 / $7,127.99 / $7,127.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,055.95 / $9,198.12 / $14,540.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,834.57 / $13,023.15 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,930.77 / $8,980.69 / $13,193.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,314.01 / $7,314.01 / $12,728.39