go back

Alabama rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,406.09 / $23,528.40 / $27,126.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,178.29 / $30,178.29 / $30,178.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.00 / $3,702.00 / $6,578.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,263.12 / $27,478.12 / $47,161.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,137.00 / $27,427.53 / $41,523.76