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Arkansas rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,328.90 / $27,490.00 / $55,867.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,832.50 / $27,367.50 / $31,288.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,025.00 / $30,136.05 / $39,193.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.00 / $27,382.88 / $38,496.76