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Arizona rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,931.46 / $13,042.60 / $17,142.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,672.39 / $15,672.39 / $15,672.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,169.88 / $16,802.91 / $28,419.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,073.16 / $13,100.57 / $21,927.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,234.58 / $14,620.41 / $21,346.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,234.58 / $13,591.62 / $21,346.99