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Connecticut 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
$95,423.80 / $127,480.00 / $190,131.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75,785.83 / $104,397.47 / $169,005.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,845.00 / $126,154.30 / $162,295.39