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Texas 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
$42,779.40 / $81,560.60 / $125,584.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,275.00 / $2,488.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114,682.10 / $187,716.49 / $187,716.49
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
$5,257.00 / $60,841.76 / $139,099.47