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Oregon rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,205.00 / $70,868.10 / $85,571.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,397.00 / $63,992.60 / $109,844.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,805.26 / $59,391.74 / $71,219.34
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,331.50 / $51,322.34 / $54,314.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,382.33 / $63,992.60 / $104,550.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $62,525.23 / $89,961.69