go back

New Jersey rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,753.00 / $18,122.20 / $23,498.80
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,756.25 / $44,756.25 / $44,756.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,384.50 / $18,026.00 / $24,415.65
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,371.00 / $14,564.00 / $23,042.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $18,065.00 / $22,267.11