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Massachusetts rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,056.02 / $12,558.00 / $16,396.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $11,319.91 / $30,709.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,095.69 / $11,732.88 / $17,728.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,661.89 / $16,661.89 / $16,661.89
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,223.50 / $11,819.82 / $18,252.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $11,319.91 / $30,709.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $9,750.00 / $23,999.47