go back

Maine rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,725.10 / $25,620.48 / $32,846.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,757.91 / $21,213.88 / $41,532.17