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New Hampshire rates for MS-DRG 801

Splenic procedures w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,751.50 / $18,958.34 / $35,575.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,075.05 / $31,098.00 / $39,394.96
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,538.69 / $27,132.38 / $38,498.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,475.39 / $22,475.39 / $39,113.36