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New Hampshire rates for MS-DRG 917

Poisoning & toxic effects of drugs w MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,313.54 / $17,638.68 / $35,532.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,780.66 / $24,970.50 / $32,367.89
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,518.81 / $22,674.36 / $33,603.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,466.34 / $18,466.34 / $32,136.52