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New Hampshire rates for MS-DRG 814

Reticuloendothelial & immunity disorders w MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,140.92 / $22,339.56 / $45,301.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,485.00 / $27,206.87 / $43,889.81
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,784.68 / $30,745.70 / $45,168.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,039.77 / $25,039.77 / $43,576.08