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Wisconsin rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Facilitymedian $43,652 · 10th–90th $776$66,0690%10%10th90th$43,652$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $52,480.75 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $46,773.51 / $83,176.38
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $44,668.36 / $56,234.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $52,480.75 / $85,113.80
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $33,884.42 / $44,668.36
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $61,659.50 / $63,095.73
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $56,234.13 / $69,183.10