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New Hampshire rates for MS-DRG 872

Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,965.53 / $11,965.53 / $17,803.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,324.69 / $14,222.64 / $30,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,905.86 / $21,110.68 / $24,417.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,758.42 / $14,793.85 / $21,733.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,048.33 / $12,048.33 / $20,967.41