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New Hampshire rates for MS-DRG 522

Hip replacement with principal diagnosis of hip fracture without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,639.00 / $48,640.56 / $48,640.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,137.90 / $27,913.84 / $44,261.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,708.43 / $33,715.90 / $43,704.08
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,954.11 / $30,615.59 / $44,977.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,933.80 / $37,821.15 / $43,391.67