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Hawaii rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78,466.83 / $78,466.83 / $78,466.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00