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New Hampshire rates for MS-DRG 817

Other antepartum diagnoses w O.R. procedure w MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.00 / $23,667.90 / $53,226.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,775.54 / $35,668.00 / $47,086.57
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,452.21 / $32,985.08 / $51,956.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,863.56 / $26,863.56 / $46,749.98