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New Hampshire rates for MS-DRG 419

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,180.01 / $13,180.01 / $13,180.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,180.62 / $14,993.66 / $28,552.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,225.47 / $28,633.31 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,471.08 / $19,745.37 / $29,008.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,080.93 / $16,080.93 / $27,985.24