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New Hampshire rates for MS-DRG 103

Heart Transpl Or Impl Heart Assist Sys

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,568.69 / $14,568.69 / $14,568.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,450.37 / $10,570.53 / $18,423.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,547.42 / $17,532.61 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,047.14 / $12,090.39 / $17,762.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,846.60 / $9,846.60 / $17,135.79