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New Hampshire rates for MS-DRG 664

Minor Bladder Procedures Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,136.05 / $13,583.50 / $23,399.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,203.50 / $21,947.74 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,220.31 / $15,135.03 / $22,235.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,326.20 / $12,326.20 / $21,450.98