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Michigan rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,830.00 / $7,043.75 / $11,434.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,303.52 / $10,364.44 / $11,125.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,725.95 / $13,826.91 / $17,726.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,671.56 / $10,965.42 / $13,869.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,039.30 / $7,575.05 / $12,112.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,893.41 / $10,077.79 / $15,311.10