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South Carolina rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $51,286.14 / $117,489.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $41,686.94 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,657.95 / $60,255.96 / $87,096.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,708.82 / $81,283.05 / $123,026.88