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Ohio rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,978.00 / $11,476.10 / $15,770.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,017.85 / $10,783.29 / $11,443.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,708.22 / $10,775.02 / $16,101.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,564.00 / $9,535.23 / $15,895.53
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,564.00 / $9,535.23 / $14,490.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,774.30 / $12,033.14 / $17,529.68