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Nationwide rates for MS-DRG 017

Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,750.80 / $83,217.39 / $111,329.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,506.84 / $93,553.42 / $148,108.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,011.07 / $124,915.41 / $259,206.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.00 / $67,896.25 / $147,034.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,373.69 / $60,110.51 / $90,062.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,275.00 / $2,488.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,506.61 / $79,634.12 / $91,310.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,845.00 / $74,797.34 / $120,798.06