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New Hampshire rates for MS-DRG 789

Neonates, died or transferred to another acute care facility

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,443.03 / $1,443.03 / $1,443.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.00 / $14,639.94 / $33,501.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,122.00 / $5,282.00 / $37,192.94
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,062.56 / $26,054.41 / $38,276.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.93 / $2,488.00 / $36,927.08