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North Dakota 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
$67,903.80 / $67,903.80 / $67,903.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102,942.09 / $102,942.09 / $118,383.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,507.19 / $40,199.01 / $93,223.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,507.19 / $40,199.01 / $95,086.98