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New Hampshire rates for MS-DRG 804

Other O.R. proc of the blood & blood forming organs w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $20,417.38 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $28,183.83 / $35,481.34
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $19,952.62 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $28,840.32