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New Hampshire rates for MS-DRG 577

Carotid Artery Stent Procedure

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,535.72 / $29,796.73 / $57,702.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,166.00 / $35,668.00 / $54,703.87
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,201.51 / $38,321.17 / $56,298.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,209.34 / $31,209.34 / $54,312.84