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New Hampshire rates for MS-DRG 794

Neonate With Other Significant Problems

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.00 / $8,591.68 / $15,706.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.00 / $12,015.75 / $27,435.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.00 / $5,166.00 / $30,458.92
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,972.23 / $21,337.09 / $31,346.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.93 / $2,488.00 / $30,241.19