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New Hampshire rates for MS-DRG 975

HIV w major related condition w CC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $19,498.45 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $23,988.33 / $28,840.32
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $25,703.96 / $26,915.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $15,135.61 / $27,542.29