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New Hampshire rates for MS-DRG 201

Pneumothorax Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,422.21 / $9,682.00 / $15,268.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,018.84 / $14,991.71 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,406.86 / $10,338.20 / $15,188.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,419.59 / $8,419.59 / $14,652.40