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New York rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,539.82 / $13,886.30 / $37,588.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,763.83 / $23,392.44 / $30,332.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,514.15 / $18,351.59 / $29,342.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,288.70 / $19,770.00 / $41,458.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,724.09 / $7,894.55 / $8,221.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,514.15 / $19,639.43 / $29,349.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,870.00 / $15,902.00 / $25,242.39