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Oregon rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,170.00 / $32,705.40 / $39,491.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,916.00 / $29,532.40 / $50,692.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,100.36 / $27,508.38 / $32,588.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,819.09 / $24,941.07 / $34,012.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,680.41 / $30,515.56 / $45,901.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,621.72 / $27,134.02 / $34,594.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $26,928.05 / $38,790.46