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Pennsylvania rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,368.17 / $13,160.90 / $20,024.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,164.88 / $13,164.88 / $13,164.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $17,966.34 / $24,242.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,045.36 / $12,340.65 / $17,909.64
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,264.79 / $13,264.79 / $16,107.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,098.62 / $13,234.86 / $20,069.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,259.49 / $13,160.90 / $20,024.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,629.18 / $10,883.60 / $17,169.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $6,601.82 / $9,052.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,867.84 / $10,147.03 / $18,405.52