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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
$46,690.80 / $51,878.60 / $51,878.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,203.58 / $39,909.85 / $69,893.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,883.97 / $60,792.97 / $89,768.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,753.08 / $77,505.46 / $100,072.52