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New Hampshire rates for MS-DRG 415

Cholecystectomy except by laparoscope w/o c.d.e. w CC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,085.88 / $22,708.87 / $42,865.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,065.22 / $32,903.93 / $42,651.56
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,721.77 / $29,878.28 / $43,894.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,333.33 / $24,333.33 / $42,346.68