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New Hampshire rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,124.19 / $24,124.19 / $24,124.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.00 / $19,839.43 / $45,528.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.00 / $5,166.00 / $50,545.41
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,187.36 / $35,408.08 / $52,018.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.93 / $2,488.00 / $50,184.11