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South Carolina 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
$85,216.50 / $94,685.00 / $94,685.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,362.72 / $67,837.61 / $177,056.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,965.00 / $141,457.09 / $182,644.79