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Massachusetts rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,333.60 / $21,428.20 / $27,977.50
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $19,315.56 / $52,400.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,107.62 / $20,020.22 / $30,250.79
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,430.77 / $28,430.77 / $28,430.77
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,444.72 / $20,168.57 / $31,145.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $19,315.56 / $52,400.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $15,218.11 / $40,951.14