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New Hampshire rates for MS-DRG 003

Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158,489.32 / $346,736.85 / $436,515.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81,283.05 / $269,153.48 / $436,515.83
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199,526.23 / $389,045.14 / $407,380.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251,188.64 / $251,188.64 / $446,683.59