go back

Florida rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,771.70 / $28,628.60 / $46,533.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,702.41 / $24,540.81 / $31,010.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,381.59 / $22,746.82 / $35,885.30
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,130.24 / $22,834.79 / $43,025.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,613.88 / $23,757.79 / $32,679.32