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New Hampshire rates for MS-DRG 690

Kidney & urinary tract infections w/o MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,622.10 / $12,009.20 / $27,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,209.41 / $16,699.99 / $24,417.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,596.61 / $11,702.94 / $17,192.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,531.04 / $9,531.04 / $16,586.66