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Indiana rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,426.60 / $25,590.20 / $34,340.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,245.11 / $14,650.26 / $21,085.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,034.17 / $22,001.68 / $35,203.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,667.34 / $20,604.00 / $47,253.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,039.55 / $20,296.31 / $28,752.20