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Nebraska rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,322.00 / $48,842.90 / $62,236.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,004.95 / $50,033.28 / $58,932.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,659.61 / $50,741.67 / $71,085.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,217.68 / $55,352.11 / $71,085.36