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New Hampshire rates for MS-DRG 416

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,875.03 / $16,145.51 / $29,692.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,193.93 / $28,580.90 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,968.94 / $19,709.23 / $28,955.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,051.49 / $16,051.49 / $27,934.02