go back

North Carolina rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $6,868.00 / $43,797.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $33,698.80 / $52,697.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,067.31 / $43,544.73 / $58,882.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,121.31 / $48,345.67 / $69,808.49