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Mississippi rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,090.54 / $12,637.10 / $16,951.59
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,095.26 / $16,095.26 / $16,095.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,651.00 / $11,869.08 / $14,112.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,741.55 / $13,049.20 / $20,539.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,713.00 / $16,121.94