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New Hampshire rates for MS-DRG 871

Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,562.98 / $21,896.80 / $24,308.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,990.36 / $26,210.30 / $41,196.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,498.81 / $26,890.00 / $40,088.37
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,573.16 / $28,082.72 / $41,256.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,871.00 / $22,871.00 / $39,801.83