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New Hampshire rates for MS-DRG 028

Acute Myocardial Infarction, Discharged Alive with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,663.96 / $49,809.77 / $49,809.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,436.78 / $67,042.53 / $131,742.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $64,721.41 / $123,996.41
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,538.68 / $86,861.99 / $127,610.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,741.72 / $70,741.72 / $123,110.07