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New Hampshire rates for MS-DRG 279

Ultrasound accelerated & oth thrombolysis of periph vascular w/o MCC

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,614.82 / $32,614.82 / $32,614.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $38,848.14 / $74,427.14
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,327.75 / $52,137.72 / $72,733.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,461.75 / $42,461.75 / $73,895.14