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South Carolina rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,547.70 / $23,941.80 / $23,941.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,171.21 / $19,915.50 / $27,811.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,795.03 / $17,548.45 / $38,643.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,932.33 / $26,554.00 / $41,427.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,965.00 / $35,768.54 / $46,183.18