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Nebraska rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,471.39 / $13,210.10 / $16,832.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,574.25 / $13,532.05 / $15,939.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,210.39 / $13,723.64 / $19,225.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,041.00 / $14,970.59 / $19,225.82