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Louisiana rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,071.50 / $6,997.87 / $11,711.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,619.00 / $7,619.00 / $14,998.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,423.00 / $8,180.84 / $12,369.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,190.64 / $7,872.90 / $13,202.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $6,353.87 / $14,128.56