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Connecticut rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,283.40 / $69,847.20 / $104,174.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,018.05 / $68,600.07 / $95,620.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,845.00 / $69,120.94 / $88,922.93