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New Hampshire rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,944.60 / $14,695.49 / $26,894.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,935.53 / $23,886.00 / $29,348.62
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,747.01 / $20,511.66 / $28,680.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,743.81 / $16,743.81 / $29,138.83