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New Hampshire rates for MS-DRG 417

Laparoscopic Cholecystectomy Without C.D.E. With Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,706.56 / $26,924.35 / $51,498.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,097.28 / $35,668.00 / $49,249.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,493.57 / $34,500.18 / $50,684.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,097.47 / $28,097.47 / $48,897.34