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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
$12,589.25 / $21,379.62 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $23,988.33 / $29,512.09
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $25,118.86 / $25,703.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $16,982.44 / $30,199.52