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Missouri 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
$49,379.60 / $63,427.50 / $105,196.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,979.68 / $64,264.22 / $138,759.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78,184.38 / $78,184.38 / $78,184.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,653.56 / $67,849.42 / $187,716.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,653.56 / $64,780.18 / $91,045.35