go back

Georgia rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,429.59 / $21,763.30 / $38,077.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,785.08 / $17,479.48 / $28,812.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,939.30 / $19,614.66 / $38,305.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,289.58 / $20,880.09 / $33,996.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $22,428.14 / $34,256.21