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Texas rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $11,731.00 / $18,249.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,553.74 / $13,410.55 / $15,064.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,914.00 / $12,321.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,911.73 / $11,214.46 / $21,219.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,475.50 / $25,330.95 / $25,330.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,252.00 / $16,461.00 / $27,288.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,111.37 / $10,062.50 / $23,208.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $9,016.00 / $20,612.83