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Iowa rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,204.40 / $15,979.10 / $19,679.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,924.20 / $14,113.74 / $14,358.24
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,609.65 / $16,301.88 / $25,544.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,457.12 / $20,599.88 / $27,186.29