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New Jersey rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,669.60 / $66,745.80 / $86,884.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,395.56 / $66,648.00 / $90,274.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,246.00 / $49,335.00 / $84,350.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $19,347.00 / $82,330.20