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Massachusetts 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
$22,391.50 / $46,431.80 / $60,623.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $41,854.14 / $113,543.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,235.54 / $43,381.03 / $65,549.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,605.53 / $61,605.53 / $61,605.53
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,800.28 / $43,702.48 / $67,486.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $41,854.14 / $113,543.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $42,401.79 / $88,735.41