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Minnesota rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $13,997.00 / $22,859.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,486.79 / $25,425.68 / $34,115.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,146.69 / $20,800.41 / $29,158.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,186.56 / $23,101.20 / $29,123.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,186.56 / $23,293.51 / $30,544.74