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Missouri rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $16,218.10 / $22,387.21
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $11,220.18 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $15,848.93 / $26,915.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $18,197.01 / $29,512.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $17,378.01 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $15,488.17 / $23,442.29