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Indiana 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
$61,009.10 / $101,204.00 / $135,808.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,863.35 / $94,256.61 / $150,794.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,478.25 / $80,267.66 / $113,708.90