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New Hampshire rates for MS-DRG 847

Chemotherapy w/o acute leukemia as secondary diagnosis w CC

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,543.26 / $22,543.26 / $22,543.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,173.49 / $15,208.98 / $27,536.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,499.02 / $23,886.00 / $28,883.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,026.23 / $18,912.65 / $27,784.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,402.75 / $15,402.75 / $26,805.02