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New York rates for MS-DRG 295

Deep Vein Thrombophlebitis without CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,285.78 / $22,683.05 / $29,412.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,007.47 / $5,007.47 / $15,902.00