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Michigan 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
$32,593.80 / $47,532.60 / $77,160.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,917.32 / $105,084.51 / $134,723.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,272.78 / $66,589.13 / $88,649.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,006.19 / $51,117.90 / $81,739.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,769.87 / $68,006.96 / $103,322.35