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Arkansas rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,843.21 / $12,686.60 / $25,782.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,783.27 / $10,990.96 / $15,917.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,961.29 / $12,486.70 / $14,275.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,856.99 / $13,907.70 / $18,087.56
Qualchoice
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,639.60 / $16,785.61 / $18,167.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.00 / $11,153.63 / $17,176.87