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Montana rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,550.00 / $41,000.00 / $47,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,742.00 / $18,742.00 / $18,742.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,669.44 / $7,669.44 / $18,742.00