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Nebraska rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,455.00 / $22,540.80 / $28,722.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,924.20 / $23,090.22 / $27,197.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,303.34 / $23,417.13 / $32,805.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,252.32 / $25,544.84 / $32,805.69