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New Mexico 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
$27,161.50 / $91,039.50 / $125,942.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.00 / $3,000.00 / $41,476.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,151.64 / $42,151.64 / $42,151.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.00 / $60,597.31 / $93,957.06