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Tennessee 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
$45,397.70 / $76,638.89 / $134,862.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,252.77 / $21,252.77 / $21,252.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159,951.35 / $159,951.35 / $187,716.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $66,790.13 / $95,402.05