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Nebraska 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
$57,166.60 / $89,144.30 / $113,589.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,657.11 / $92,609.85 / $129,739.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91,273.50 / $101,024.48 / $129,739.62