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Iowa rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,612.10 / $34,624.50 / $42,642.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,004.95 / $30,582.51 / $31,112.31
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,323.35 / $35,323.92 / $55,352.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,493.43 / $44,637.07 / $58,908.91