go back

Alaska rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,076.20 / $21,190.00 / $43,052.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,389.98 / $32,389.98 / $34,413.75
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $12,517.75 / $19,981.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $12,665.48 / $34,413.75