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Oklahoma 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
$34,484.19 / $63,166.80 / $89,437.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,597.07 / $50,248.57 / $82,110.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,117.00 / $55,828.38 / $119,545.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.00 / $52,443.42 / $106,234.06