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New Hampshire rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,737.89 / $10,220.20 / $16,932.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,858.79 / $16,387.95 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,395.95 / $11,301.04 / $16,602.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,203.74 / $9,203.74 / $16,017.03