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New Hampshire rates for MS-DRG 667

Prostatectomy w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,146.00 / $12,148.20 / $22,272.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,951.39 / $23,190.93 / $35,672.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,727.18 / $15,992.33 / $23,321.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,024.40 / $13,024.40 / $22,666.04