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New Hampshire rates for MS-DRG 025

Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,434.30 / $55,251.46 / $55,251.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,547.47 / $50,045.03 / $96,914.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,342.98 / $89,660.92 / $108,961.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,327.48 / $65,731.64 / $96,567.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,532.85 / $53,532.85 / $93,161.88