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Kansas rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $16,218.10 / $22,387.21
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $19,498.45 / $30,902.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $14,454.40 / $30,199.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $13,803.84 / $26,302.68