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West Virginia rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $16,982.44 / $24,547.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $18,197.01 / $40,738.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $19,054.61 / $23,442.29