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Kentucky rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,002.50 / $19,374.59 / $31,015.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,041.73 / $15,643.82 / $22,200.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,536.67 / $15,455.75 / $27,080.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,328.08 / $17,503.78 / $23,455.59