go back

North Dakota rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $37,153.52 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,543.99 / $66,069.34 / $104,712.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $38,904.51 / $51,286.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $41,686.94 / $52,480.75