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Oklahoma rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,894.20 / $34,609.60 / $49,003.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,644.24 / $31,133.14 / $55,390.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,264.00 / $31,112.13 / $65,499.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.00 / $28,734.17 / $58,206.48