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New Hampshire rates for MS-DRG 884

Organic disturbances and intellectual disability

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,177.89 / $16,378.05 / $35,521.01
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,807.50 / $23,259.87 / $34,228.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,943.18 / $18,943.18 / $32,966.36