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New Hampshire rates for MS-DRG 839

Chemo w acute leukemia as sdx w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,211.62 / $16,733.98 / $29,696.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,210.47 / $23,886.00 / $29,798.52
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,969.89 / $20,874.46 / $30,666.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,000.48 / $17,000.48 / $29,585.51