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Ohio rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,545.00 / $19,445.00 / $26,910.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,778.67 / $15,778.67 / $17,858.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,474.30 / $18,385.93 / $27,855.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,516.00 / $16,270.29 / $27,123.11
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,516.00 / $16,947.48 / $25,166.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,278.92 / $20,937.78 / $29,911.51