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Rhode Island rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,076.00 / $48,076.00 / $48,076.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,071.00 / $37,168.24 / $37,811.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,306.00 / $10,063.00 / $19,605.39