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Massachusetts 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
$40,867.19 / $84,743.90 / $110,645.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $76,389.00 / $207,231.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100,000.00 / $100,143.13 / $254,951.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,990.21 / $79,762.46 / $123,171.97
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $76,389.00 / $207,231.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $60,184.45 / $161,953.16