go back

Michigan rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,241.60 / $12,019.00 / $19,510.59
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,475.03 / $16,390.21 / $31,449.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,974.16 / $24,131.30 / $30,937.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,677.58 / $18,710.68 / $23,665.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,598.74 / $12,925.60 / $20,668.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,056.12 / $17,196.09 / $26,125.87