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New Hampshire rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $35,762.00 / $61,425.51
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,042.41 / $43,029.81 / $63,215.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,044.12 / $35,044.12 / $60,986.44