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New Hampshire rates for MS-DRG 977

Hiv With Or Without Other Related Condition

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,219.71 / $15,802.40 / $31,245.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,366.59 / $23,886.00 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,338.09 / $18,760.84 / $29,549.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,279.12 / $15,279.12 / $26,589.87