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New Hampshire rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,522.51 / $10,679.27 / $17,650.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,152.66 / $16,876.41 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,709.24 / $11,637.89 / $17,097.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,478.07 / $9,478.07 / $16,494.45