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Iowa 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
$52,220.70 / $63,193.90 / $77,828.60
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,868.51 / $64,470.54 / $101,024.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,129.67 / $81,468.20 / $107,516.08