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New Hampshire rates for MS-DRG 189

Pulmonary Edema And Respiratory Failure

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,187.26 / $24,187.26 / $24,187.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,549.60 / $14,020.53 / $26,814.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,580.86 / $23,886.00 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,712.94 / $17,860.18 / $26,238.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,545.60 / $14,545.60 / $25,313.35