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New Hampshire rates for MS-DRG 863

Postoperative & post-traumatic infections w/o MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,047.76 / $11,949.13 / $21,667.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,585.51 / $20,920.47 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,464.04 / $14,426.64 / $21,194.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,749.27 / $11,749.27 / $20,446.97