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New Hampshire rates for MS-DRG 738

Uterine & adnexa proc for ovarian or adnexal malignancy w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,307.25 / $16,974.11 / $32,871.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,520.72 / $30,166.00 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,356.51 / $21,230.10 / $31,189.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,290.12 / $17,290.12 / $30,089.57