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Texas rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $57,543.99 / $69,183.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $38,018.94 / $60,255.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $47,863.01 / $83,176.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $41,686.94 / $69,183.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $38,904.51 / $89,125.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $36,307.81 / $81,283.05