go back

New York rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $28,183.83 / $53,703.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $45,708.82 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $33,113.11 / $45,708.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $33,884.42 / $85,113.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $12,589.25 / $15,488.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $22,387.21 / $45,708.82