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New Hampshire rates for MS-DRG 200

Pneumothorax With Cc

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,906.45 / $10,906.45 / $10,906.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,597.00 / $13,059.50 / $23,999.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,864.37 / $22,678.56 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,481.54 / $15,892.58 / $23,348.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,943.16 / $12,943.16 / $22,524.66