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New Hampshire rates for MS-DRG 194

Simple pneumonia and pleurisy with CC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,742.42 / $12,269.56 / $34,200.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,164.01 / $16,625.72 / $26,890.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,761.30 / $11,650.90 / $17,116.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,488.67 / $9,488.67 / $16,512.89