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Tennessee rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,727.39 / $11,356.90 / $19,984.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,884.00 / $7,884.00 / $9,922.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,210.60 / $10,730.03 / $17,454.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,119.61 / $10,468.32 / $15,069.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,584.25 / $21,584.25 / $25,330.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $9,897.48 / $14,137.41