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New Hampshire rates for MS-DRG 557

Perc Cv Pr W Drug-El Stent W Maj Cv Dx

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,261.18 / $15,261.18 / $15,261.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,816.21 / $16,665.08 / $33,581.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,752.78 / $23,886.00 / $30,685.93
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,667.91 / $21,496.11 / $31,761.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,506.75 / $17,506.75 / $30,466.58