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New Hampshire rates for MS-DRG 842

Lymphoma & non-acute leukemia w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,597.00 / $13,078.27 / $22,794.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,743.16 / $21,182.53 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,955.29 / $14,607.35 / $21,556.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,896.45 / $11,896.45 / $20,703.09