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Oregon 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 / $129,343.00 / $156,179.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78,697.80 / $102,895.74 / $123,072.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,920.55 / $82,546.89 / $99,999.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,440.89 / $119,966.18 / $189,633.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82,595.46 / $111,965.85 / $129,329.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $106,494.81 / $153,408.15