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California rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,405.00 / $20,802.00 / $32,131.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,952.22 / $17,952.22 / $17,952.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,116.29 / $20,231.00 / $32,437.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $12,125.57 / $25,772.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,692.65 / $19,666.15 / $32,200.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,864.63 / $21,584.25 / $25,330.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,909.87 / $15,253.14 / $32,200.00
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,771.00 / $18,771.00 / $18,771.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $12,465.43 / $25,520.11