go back

Louisiana rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,653.68 / $11,940.70 / $19,984.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,423.00 / $14,153.00 / $21,398.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,856.96 / $13,433.81 / $22,528.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $10,841.82 / $24,108.05