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Oklahoma rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,719.61 / $15,972.20 / $22,615.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,892.46 / $15,892.46 / $15,892.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,566.69 / $16,938.41 / $26,642.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,065.76 / $14,367.86 / $25,562.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,769.12 / $13,809.18 / $30,227.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.00 / $13,260.73 / $26,862.12