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Georgia 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
$35,600.69 / $47,158.10 / $82,508.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,605.07 / $49,605.07 / $49,605.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,239.00 / $45,244.26 / $73,665.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $52,167.36 / $83,479.09