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New Hampshire rates for MS-DRG 728

Inflammation of the male reproductive system w/o MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,272.41 / $10,330.77 / $17,706.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,230.85 / $17,006.40 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,733.85 / $11,727.52 / $17,229.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,551.07 / $9,551.07 / $16,621.49