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Missouri rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,317.45 / $9,399.18 / $21,239.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,908.51 / $8,526.36 / $12,927.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,959.69 / $8,671.98 / $15,083.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,093.47 / $10,263.75 / $15,708.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,031.25 / $10,095.51 / $20,366.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,031.25 / $9,599.62 / $13,491.80