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Tennessee rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,479.20 / $19,378.70 / $34,101.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,269.65 / $18,269.65 / $20,080.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,171.33 / $16,760.83 / $27,344.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,442.11 / $17,862.47 / $24,664.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,341.15 / $37,341.15 / $43,823.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $16,888.41 / $24,123.16