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Utah 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
$70,951.30 / $88,573.70 / $112,014.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,592.80 / $79,227.22 / $122,293.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $51,976.25