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Indiana rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,040.79 / $14,997.20 / $20,125.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,234.07 / $8,262.08 / $18,786.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,574.03 / $12,900.05 / $20,348.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,423.71 / $12,075.00 / $27,692.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,813.95 / $11,850.41 / $16,850.25