go back

Maine rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,755.37 / $14,809.36 / $18,986.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,821.00 / $12,432.42 / $24,339.98