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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
$7,385.88 / $10,364.40 / $16,540.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,330.24 / $8,330.24 / $8,330.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,011.74 / $9,332.40 / $14,841.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,443.22 / $9,037.74 / $16,100.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $99.49 / $159.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,096.88 / $9,821.81 / $16,164.40