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New York rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,683.20 / $51,857.80 / $87,556.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,696.65 / $73,924.19 / $108,516.57
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,041.37 / $73,097.41 / $153,287.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,696.65 / $80,485.73 / $109,114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,114.00 / $68,070.27 / $102,331.61