go back

New Hampshire rates for MS-DRG 165

Major chest procedures w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,294.18 / $21,435.37 / $40,392.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,141.89 / $40,130.25 / $78,754.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,641.81 / $27,673.59 / $40,655.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,537.79 / $22,537.79 / $39,221.96