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New Hampshire rates for MS-DRG 655

Major bladder procedures without CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,408.44 / $23,244.98 / $45,015.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,694.56 / $33,698.39 / $43,681.37
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,660.70 / $30,599.69 / $44,954.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,920.85 / $24,920.85 / $43,369.13