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Illinois 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
$49,841.40 / $67,713.60 / $106,620.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,373.69 / $60,110.51 / $90,062.56
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.30 / $532.70 / $903.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,891.16 / $66,279.49 / $109,080.58