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Rhode Island rates for MS-DRG 173

Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104,174.00 / $104,174.00 / $104,174.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,824.80 / $80,538.41 / $81,931.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,306.00 / $10,063.00 / $42,482.16