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New Hampshire rates for MS-DRG 689

Kidney & urinary tract infections w MCC

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,698.14 / $12,698.14 / $12,698.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,757.33 / $15,680.40 / $36,008.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,633.70 / $23,936.99 / $26,890.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,077.84 / $16,774.46 / $24,643.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,661.37 / $13,661.37 / $23,774.55