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Mississippi 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
$13,197.40 / $27,382.90 / $36,731.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,447.67 / $32,447.67 / $32,447.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,897.00 / $32,274.89 / $38,376.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,275.45 / $28,275.80 / $44,505.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $34,934.01 / $44,119.18