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New Hampshire rates for MS-DRG 204

Respiratory signs & symptoms

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,193.18 / $10,314.37 / $17,574.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,182.93 / $16,926.74 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,675.17 / $11,672.58 / $17,148.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,506.33 / $9,506.33 / $16,543.63