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Minnesota 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
$6,303.00 / $30,329.50 / $49,533.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,058.30 / $55,093.91 / $73,924.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,820.76 / $45,071.63 / $63,183.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,573.44 / $50,057.10 / $63,105.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,573.44 / $50,473.79 / $66,186.21