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New Hampshire rates for MS-DRG 155

Stomach,Esoph & Duod Proc Age >17 W/O Cc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,816.81 / $11,145.91 / $20,231.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,558.90 / $19,213.96 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,836.52 / $13,249.84 / $19,465.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,790.87 / $10,790.87 / $18,779.09