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New Hampshire rates for MS-DRG 793

Full Term Neonate With Major Problems

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,102.67 / $39,102.67 / $39,102.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,692.00 / $33,667.66 / $77,509.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.00 / $5,166.00 / $86,050.20
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,474.73 / $60,279.91 / $88,558.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.93 / $6,199.00 / $85,435.10