go back

Kansas rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,655.90 / $35,797.19 / $57,638.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.01 / $27,306.73 / $52,179.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,912.54 / $37,428.23 / $53,021.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,266.38 / $30,627.16 / $64,834.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,266.38 / $31,392.09 / $66,778.50