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Illinois rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $10,471.29 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $9,332.54 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $9,332.54 / $16,218.10
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $102.33 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $10,000.00 / $14,791.08