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Ohio rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,796.50 / $42,431.60 / $58,310.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,169.96 / $38,964.05 / $60,355.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,907.86 / $37,446.08 / $57,117.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,403.00 / $46,098.48 / $64,814.09