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Arizona rates for MS-DRG 173

Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,023.19 / $48,223.60 / $63,382.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,073.41 / $43,773.94 / $74,037.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,758.40 / $48,661.16 / $86,797.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,538.64 / $54,057.38 / $78,928.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,538.64 / $50,253.54 / $78,928.17