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North Dakota rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,062.50 / $10,062.50 / $10,062.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,254.75 / $17,542.96 / $28,459.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,957.00 / $6,624.48 / $13,814.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,957.00 / $6,624.48 / $14,090.72