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New Hampshire rates for MS-DRG 377

Gastrointestinal Hemorrhage With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,566.83 / $17,757.91 / $17,757.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,526.57 / $20,345.65 / $39,400.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,811.00 / $26,912.00 / $37,725.39
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,208.32 / $26,427.40 / $38,824.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,522.87 / $21,522.87 / $37,455.72