go back

Virginia rates for MS-DRG 176

Pulmonary embolism w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,009.56 / $13,953.10 / $15,782.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,078.41 / $13,730.84 / $18,544.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,319.68 / $12,838.14 / $17,495.07
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,930.00 / $14,648.00 / $19,893.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $16,118.52 / $21,400.93