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Montana rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,296.53 / $69,296.53 / $69,296.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,953.92 / $27,953.92 / $69,296.53